You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a dedicated Medical Biller to manage DME (Durable Medical Equipment) claim submission, correction, rebilling, appeals, and payer follow-up, with a primary focus on MO HealthNet. This role involves reviewing outstanding accounts receivable, resolving denials and rejections, and ensuring compliance with payer-specific requirements to optimize collections.

Key Responsibilities

• Manage DME claim submission, correction, rebilling, appeals and payer follow-up, with a primary focus on MO HealthNet.
• Review outstanding accounts receivable and prioritize claims to improve collections and reduce aging balances.
• Identify and resolve denials, rejections, underpayments, authorization issues and billing errors.
• Apply payer-specific requirements for HCPCS codes, modifiers, units, quantity limits, medical necessity and supporting documentation.
• Verify eligibility, plan enrollment, coordination of benefits and the appropriate payer or program responsible for each claim.
• Research and resolve billing issues involving Missouri Medicaid managed care plans and applicable waiver programs.
• Review remittance advice, EOBs and payer portal information to determine claim status and necessary corrective action.
• Coordinate with intake, authorization, documentation and customer service teams to address barriers to payment.
• Serve as the primary internal resource for complex Missouri DME billing questions and support cross-training within the department.
• Document claim activity, maintain organized follow-up records and communicate recurring issues and collection barriers to management.
• Monitor payer policy changes and recommend improvements to prevent recurring denials and payment delays.

Qualifications

• Expertise in MO HealthNet (Missouri Medicaid).
• Ability to review EOBs, denials, rejections, and payer portals.

Experience

• Prior DME (durable medical equipment) billing experience.

Skills

• Brightree or similar DME billing software experience preferred.

Additional Requirements

• Standard 8am-5pm, Monday-Friday.
• Fully Remote, direct hire opportunity.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.