Job Description
Position Summary
We are seeking an experienced DME Claims Review & Rebilling Specialist to review, correct, and rebill outstanding DME claims for Empower, CareSource, and Summit. This role is focused on resolving claim issues, reducing outstanding A/R, and improving overall cash collections.
Key Responsibilities
• Review outstanding DME claims for Empower, CareSource, and Summit
• Identify denials, rejections, underpayments, and billing errors
• Correct and rebill claims accurately and in a timely manner
• Research payer-specific requirements as needed
• Follow up on unpaid or incorrectly processed claims
• Document claim activity and resolution steps
• Communicate recurring issues, trends, and barriers to management
• Coordinate with billing, intake, authorization, and documentation teams as needed
• Onsite with hybrid flexibility depending on commute
Compensation: $23-25/hr. Exact compensation may vary based on several factors, including skills, experience, and education.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
• Prior experience in DME billing, claims review, or revenue cycle required
• Experience working with Empower, CareSource, and Summit claims preferred
• Strong understanding of DME claim corrections, including modifiers, documentation, and payer requirements
• Ability to review EOBs, denials, rejections, and navigate payer portals
• Experience with Brightree or similar DME billing software preferred
• High attention to detail with the ability to work independently
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.