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Medical Biller Sleep Apnea Program FTPT

Medical Biller Sleep Apnea Program FTPT

Aava International ConsultingRiverside, CA, United States
16 hours ago
Job type
  • Full-time
Job description

Benefits : Competitive salary

Paid time off

Training & development

About ZapZzz : ZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. We are committed to excellence in care, professionalism, and compliance while ensuring patients have access to the treatment they need.

We are seeking a dedicated and detail-oriented Medical Biller with experience in sleep apnea billing. The ideal candidate will bring both technical expertise and a proactive approach to managing insurance claims, billing processes, and revenue cycle operations.

Position Summary : The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy. This role requires a thorough understanding of insurance verification, billing codes, compliance guidelines, and patient account management. The Medical Biller will play a critical role in ensuring timely reimbursement and supporting the financial health of the program.

Key Responsibilities :

  • Prepare, review, and submit accurate insurance claims for sleep apnea treatments and devices in compliance with industry standards and payer requirements.
  • Conduct insurance verification, confirm patient eligibility, and obtain pre-authorizations as required.
  • Review and reconcile Explanation of Benefits (EOBs); identify, investigate, and resolve claim discrepancies, rejections, and denials in a timely manner.
  • Accurately post payments, adjustments, and patient balances while maintaining detailed account records.
  • Serve as the primary point of contact for insurance companies and patients regarding billing inquiries.
  • Maintain current knowledge of ICD-10, CPT, and HCPCS coding, with an emphasis on sleep-related services.
  • Generate financial and billing reports, providing insights to support program performance and revenue cycle efficiency.
  • Ensure compliance with HIPAA and other federal and state billing regulations.
  • Collaborate closely with clinical and administrative staff to streamline billing processes and provide a seamless experience for patients.

Qualifications :

  • Minimum of 2 years of experience in medical billing, preferably with sleep medicine.
  • Strong knowledge of ICD-10, CPT, and HCPCS coding related to sleep apnea and oral appliance therapy.
  • Demonstrated experience with insurance verification, claims management, and reimbursement processes.
  • Proficiency in medical billing software, electronic claims submission, and Microsoft Office Suite.
  • Strong analytical and problem-solving skills with exceptional attention to detail.
  • Effective communication and interpersonal skills, with the ability to interact professionally with patients, insurance representatives, and team members.
  • High level of integrity, confidentiality, and commitment to compliance.

    • Preferred Qualifications :

  • Prior experience with dental sleep medicine billing and oral appliance therapy claims.
  • Familiarity with major insurance providers’ sleep apnea coverage requirements.
  • Certification in medical billing and coding (CPC, CPB, or equivalent) is a plus.

    • What We Offer :

  • Competitive compensation package.
  • Supportive and professional work environment.
  • Opportunities for career development in a growing specialty field.
  • The chance to make a meaningful difference in patients’ lives by facilitating access to critical sleep apnea care.
  • Availability to work Saturdays is required.
  • Some traveling between OC and Island Empired locations will be required.
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    Medical Biller • Riverside, CA, United States