Customer Specialist
New
B
BoldrHealthcare Billing
PhilippinesFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 3+ years
- Required Skills
- MS OfficeGoogle WorkspaceZendeskHIPAA
Requirements
- 3+ years of direct experience in DME billing and insurance reimbursement.
- Proficiency in managing the full claim lifecycle from eligibility verification through appeals and collections.
- Confidence reviewing EOBs, identifying payment discrepancies, and managing denials.
- Working understanding of CPT, HCPCS, ICD-10 coding and billing regulations (HIPAA, CMS, ERISA).
- Proficiency in CRM/billing software such as NikoHealth, Zendesk, or Slack.
- Strong knowledge of Google Workspace (Drive, Sheets, Docs) and MS Office.
- Proven ability to function effectively in a fast-paced environment.
- Strong written communication and interpersonal skills.
- Team-first mentality with high attention to detail.
- Willingness to adapt to AI-driven workflows.
Responsibilities
- Conduct timely eligibility checks and benefit investigations through payer portals and phone outreach.
- Submit and monitor DME claims across platforms, troubleshooting billing issues to reduce denials.
- Analyze EOBs to identify payment discrepancies and execute resolution paths.
- Draft and submit detailed appeals for denied claims.
- Work aging reports weekly to resolve unpaid claims.
- Provide clear, empathetic billing support to patients regarding benefits and costs.
- Collaborate with billing and fulfillment teams to identify and address process gaps.
- Leverage AI-enabled tools to improve billing efficiency and accuracy.
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