DME Coordinator- Respiratory & Sleep Disorders Specialists

Company Description

Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.

Job Description

Location: Onsite at our care center located at 8845 Six Pines Suite 202 Woodlands, TX 77380

We are seeking a detail-oriented and customer-focused DME Coordinator to join our healthcare administration team. In this role, you will be primarily responsible for managing the billing, insurance verification, and revenue cycle processes for our durable medical equipment services. You will serve as a vital link between our patients, medical equipment logistics, and insurance providers, ensuring a smooth financial and administrative workflow. 

• Review and interpret insurance benefits, with a strong focus on verifying deductibles, copays, and coinsurance amounts.

• Read and accurately interpret Explanation of Benefits (EOBs) to understand payment details and insurance denials.

• Handle daily payment posting and precisely calculate and track outstanding patient balances.

• Provide excellent, compassionate customer service by communicating clearly with patients regarding their financial responsibilities and insurance coverage.

• Oversee the general workflow of equipment orders from intake through to final billing.

Qualifications

• Proven experience in medical billing and a solid understanding of health insurance processes is required.

• Strong capability in reading EOBs, understanding insurance terminology, and utilizing payment posting workflows.

• Prior experience specifically working with Durable Medical Equipment (DME) is highly preferred.

• Practical experience using Brightree software is a major plus.

• Experience with Athena EMR preferred.

• Excellent verbal communication, sharp attention to detail, and top-tier customer service skills.

Additional Information

All your information will be kept confidential according to EEO guidelines.

#LI-DNI

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.