Job Summary

Background: What is DME and AR:
Durable Medical Equipment (DME) billing is the process of submitting claims to insurance payers for medical equipment that is:
- Durable (can withstand repeated use)
- Medically necessary

DME AR refers to the outstanding payments owed to a DME supplier by:
- Insurance payers:
- In easy terms, it’s the money that has been billed but not yet collected for DME products and services.

Key Responsibilities
- AR Management: Proactively follow up on outstanding claims with insurance carriers to ensure maximum reimbursement.
- Denial Resolution: Analyse, appeal, and resolve denied claims related to DME billing, ensuring all corrective actions are documented.
- Platform Expertise: Utilise Medical billing software to manage patient accounts and track claim status
- Compliance: Ensure all billing activities strictly adhere to HIPAA regulations and payer-specific DME guidelines.
- Documentation: Review and verify medical necessity documentation,



CMNs (Certificate of Medical Necessity), and prior authorisations.

Required Qualifications & Skills
- Software Proficiency: Good MS Office and Excel on-hand knowledge
- Communication: Excellent verbal and written English communication skills for professional interaction with US-based insurance providers.
- Shift Flexibility: Ability to work in a night shift environment to align with US business hours. (5:30 PM to 2:30 PM)

Pay: ₹12,000.00 - ₹16,808.00 per month

Benefits:
- Provident Fund

Ability to commute/relocate:
- Patiala, Punjab (Patiala): Reliably commute or planning to relocate before starting work (required)

Language:
- English (required)

Location:
- Patiala, Punjab (Patiala) (required)

Shift availability:
- Night Shift (required)

Work Location: In person

📌 Process Associate (Patiala)
🏢 Eminence Healthcare Services
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