Insurance Billing Specialist, DME

Who We Are reputed company is the leading registry, e-commerce, and content platform for growing families. More than 9 million people shop with reputed company every year, making it the go-to destination for seamless purchasing, trusted guidance, and expert product recommendations for new parents and the people who love them. What began as a universal registry has grown into a full ecosystem for new parents, including the reputed company Shop, reputed company Health, and a flagship showroom in Los Angeles. Hundreds of brands in baby and beyond partner with reputed company to engage meaningfully with families during one of lifes most important transitions. With over $1 billion in annual GMV, and more than $500 million in 2024 revenue, reputed company is reshaping the $320 billion baby product industry. Were helping parents feel confident, connected, and cared for at every step. As we build the generational brand in baby, our mission remains simple: to connect growing families with everything they need to thrive.To learn more, visit [hidden] company.com. Our Ways of Working reputed company thrives as a remote-first company, with HQ team members located across the U.S. and Canada. We meet in person twice a yearonce as a company and once by department to strengthen the relationships that power our work. We show up consistently, stay purpose-driven, and achieve results together, from anywhere. What the Role Is In 2023, reputed company expanded into healthcare and wellness with the launch of reputed company Health, following the acquisition of a durable medical equipment (DME) company. Since then, reputed company Health has continued to grow, creating new opportunities to support families with essential health services and products. At reputed company Health, we believe every family deserves clarity and confidence in understanding their insurance coverage. As an Insurance Billing Specialist, DME you will play a critical role in making that possible by ensuring accurate eligibility verification, clean claim submission, timely reimbursement, and resolution of aged accounts. This position is key to removing financial and administrative barriers so families can access the DME they need without unnecessary delays. Youll report to the Insurance Claim Recovery Manager and collaborate closely with teammates across the business to deliver a billing process that is accurate, compliant, and patient-centered. This role is fully remote and open to candidates across the United States. The team operates on a Pacific Standard Time schedule, Monday through Friday, with two shift options: 8:00 a.m - 4:30 p.m. PST or 8:30 a.m.- 5:00 p.m. PST. Regardless of location, all team members work PST aligned hours to ensure consistency for our patients and partners. Who You Are You have at least 3 years of professional insurance billing and eligibility experience, with your primary focus on DME billing and reimbursement. Experience must be from professional roles where you were directly responsible for billing outcomes. Experienced across the full billing cycle, including eligibility verification, prior authorizations, denial management, appeals, and aged account resolution, with a proven record of improving collections and reducing outstanding balances. Strong working knowledge of CPT, HCPCS, ICD-10 coding, and DME-specific compliance standards (HIPAA, CMS, ERISA, ACA). Advanced ability to interpret and act on EOBs accurately identifying coverage details, payments, denials, adjustments, and patient responsibility, and determining the correct next step (rebill, appeal, escalate, or close). Proficient with reputed company and reputed company; familiar with other billing/EMR systems (Epic, Kareo, reputed company, etc) and productivity tools (reputed company 365, reputed company Workspace, reputed company, reputed company, reputed company). Your Soft Skills and Mindset: A clear and empathetic communicator - able to explain complex billing issues to patients, providers, and payers with patience and professionalism Detail-oriented and organized, with the ability to manage multiple priorities and maintain accuracy under tight deadlines Adaptable and resourceful, you are very comfortable with change and willing to learn new processes, technologies, and tools (including AI-enabled solutions) Collaborative and team-oriented, able to build positive relationships and contribute to a supportive remote work culture Problem-solver at heart - you approach billing challenges with persistence, creativity, and accountability Mission-driven, motivated by helping families access the care and equipment they need How You Will Make An Impact Conduct insurance eligibility verification and benefit investigations through payer portals and phone outreach to ensure accurate coverage Submit, review, and follow up on claims, supporting timely reimbursement and reducing denials Manage aged accounts, identifying barriers and driving resolution of outstanding .