DME Billing Specialist – Medicare & Commercial (Durable Medical Equipment)

About the Role

We are a growing Durable Medical Equipment (DME) company expanding our in-house billing team. We are seeking a DME Billing Specialist to support billing operations for Medicare, Medicare Advantage, and commercial insurance claims . Our primary product focus includes Continuous Glucose Monitoring (CGM) and other recurring DME supplies.

Prior CGM experience is strongly preferred , but experienced DME billers who are comfortable learning CGM workflows are encouraged to apply. This role is ideal for a hands-on biller who understands DME claim submission, payer rules, and billing accuracy , and wants to be part of a growing billing organization. This is not hospital billing or physician-office-only billing.

Key Responsibilities

Claim Submission & Billing: Prepare and submit DME claims to Medicare, Medicare Advantage, and commercial payers Support billing for recurring DME and CGM resupply claims Ensure claims meet payer requirements prior to submission Verify correct use of: HCPCS codes Units of service Modifiers Dates of service Billing Accuracy & Issue Resolution: Identify and correct billing errors and rejections Assist with resolving front-end denials and payer issues Work closely with AR and collections teams to resolve unpaid claims Escalate recurring billing issues to leadership Documentation & Coordination: Confirm required documentation is present prior to billing Coordinate with documentation and intake teams when information is missing Follow established billing workflows and SOPs Required Experience & Skills: Applicants without Durable Medical Equipment (DME) billing experience will not be considered.

2+ years of DME billing experience Experience billing Medicare and/or commercial insurance Familiarity with DME claim submission workflows Strong attention to detail and organization Ability to work efficiently in a high-volume environment Strongly Preferred: Experience with Continuous Glucose Monitoring (CGM) billing Experience with Medicare Advantage plans Experience billing recurring or resupply DME items Experience with DME billing systems (e.

g., Niko Health or similar) What This Role Is Not: Not hospital billing Not physician-office-only billing Not entry-level billing Not patient collections Compensation: Competitive salary based on experience Full-time, long-term role Opportunity to grow into senior billing, AR, or lead roles How to Apply: Please include: Years of DME billing experience Payers you’ve billed (Medicare, MA, commercial) Billing systems you’ve used Any experience with recurring DME or CGM billing Why This Role Matters: This role supports the backbone of our billing operation — accurate, timely DME claim submission .

Strong performance here directly reduces denials, speeds up cash flow, and creates growth opportunities within the billing team.