About the job 

Nymbl Systems is an industry-leading Prosthetics and Orthotics Practice Management software suite. Our mission is to empower healthcare providers with intelligent software solutions. To be considered for this position, please take 5-7 minutes to complete this survey:  

https://go.cultureindex.com/p/0eJZyZ8jRjDogVzNUOl  

Job Summary:  

We are seeking a skilled and detail-oriented individual to join our team as an HME/DME Medical Billing Specialist. In this role, you will be responsible for reviewing medical claims. This will include checking patient eligibility and coverage as well as payer guidelines and requirements. You will verify that all documentation is correct and available and that the Dx codes and modifiers are correct for payment. You will comprehensively scrub all claims to ensure clean, correct claims with a low denial rate.  

The ideal candidate will have a solid understanding of medical billing procedures, excellent analytical skills, and strong attention to detail. This is a crucial position within our organization, as accurate and timely denial handling directly impacts our revenue cycle and financial stability. This is a remote position with the expectation of regular work hours and the ability to work in a team-oriented environment. 

Responsibilities: 

• Process, review and submit medical claimsdenial and rejection responses for HME, DME, & O&P services provided to patients in compliance with all relevant guidelines, government regulations, and company policies. 
• Verify patient insurance coverage and eligibility for O&P services, ensuring accurate information is recorded and maintained. 
• Review and analyze patient medical records, HME, DME, and O&P prescriptions, and supporting documentation to ensure appropriate coding and billing. 
• Assign appropriate CPT, HCPCs, and ICD-10 codes to accurately reflect the services provided. 
• Communicate with healthcare providers, physicians, and insurance companies to resolve billing discrepancies, obtain additional information, and address claim denials or rejections. 
• Stay updated on changes in medical billing and coding regulations, guidelines, and insurance requirements. 
• Maintain confidentiality of patient information and adhere to HIPAA guidelines. 
• Collaborate with the Accounts Receivablebilling team and other departments to ensure accurate and efficient billing processes. 
• Provide training and guidance to staff members on O&P billing procedures and regulations. 

Requirements: 

• High school diploma or equivalent; certification or associate degree in medical billing and coding is preferred. 
• 2+ years of relevant experience working in medical billing, preferably in the field of Orthotics, and Prosthetics; experience in Home Medical Equipment or Durable Medical Equipment will be considered. 
• Excellent attention to detail, analytical skills, and problem-solving abilities. 
• Strong communication skills, both written and verbal, with the ability to effectively interact with healthcare professionals, insurance companies, and patients. 
• Ability to work independently and prioritize tasks in a fast-paced environment. 
• Suitable work from home environment. 
• Knowledge of HIPAA regulations and patient privacy guidelines. 

Candidate Preferences 

• Proven experience handling medical claim submissions including performing a comprehensive claim scrub. 
• Knowledge of insurance guidelines, regulations, and reimbursement policies related to HME, Durible Medical equipment E, Complex Rehab Technologies RT and O&P services. 
• Strong knowledge of medical billing and coding practices, including CPT, HCPCS, and ICD-10 coding systems. 
• Familiarity with claim submission processes, including electronic claim submission, paper claim submission and coordination of benefits. 
• Proficient in using billing software, electronic health records (EHR), and other relevant computer systems. 
• Understanding of medical terminology and HME, DME, and O&P terminology is highly desirable. 

*This job description is intended to provide a general overview of the responsibilities and requirements of the position. It is not exhaustive, and additional duties may be assigned as needed. 

Featured benefits 

• Medical insurance 
• Vision insurance 
• Dental insurance 

Interested in applying? Email us at Info@NymblSystems.com.

Posted Nov. 8 2023 

About the job 

Nymbl Systems is an industry-leading Prosthetics and Orthotics Practice Management software suite. Our mission is to empower healthcare providers with intelligent software solutions.  

Job Summary:  

We are seeking a skilled and detail-oriented individual to join our team as an HME/DME Medical AR Specialist. In this role, you will be responsible for reviewing denied and rejected claims and ensuring compliance with relevant regulations and guidelines. You will be responsible for correction and properly resubmitting claims, creating appeals, sending redetermination and reconsideration requests as well as responding to Additional Documentation Requests (ADRs) and Prepayment Reviews. The ideal candidate will have a solid understanding of medical billing procedures, excellent analytical skills, and strong attention to detail. This is a crucial position within our organization, as accurate and timely denial handling directly impacts our revenue cycle and financial stability. This is a remote position with the expectation of regular work hours and the ability to work in a team-oriented environment. 

Responsibilities: 

• Follow up on unpaid or denied claims, appealing when necessary, and provide necessary documentation to support the claim. 
• Process, scrub and submit secondary, tertiary, etc. medical claims for HME, DME, & O&P services provided to patients in compliance with all relevant guidelines, government regulations, and company policies. 
• Verify patient insurance coverage and eligibility for O&P services, ensuring accurate information is recorded and maintained. 
• Review and analyze patient medical records, HME, DME, and O&P prescriptions, and supporting documentation to ensure appropriate coding and billing. 
• Assign appropriate CPT, HCPCs, and ICD-10 codes to accurately reflect the services provided. 
• Communicate with healthcare providers, physicians, and insurance companies to resolve billing discrepancies, obtain additional information, and address claim denials or rejections. 
• Stay updated on changes in medical billing and coding regulations, guidelines, and insurance requirements. 
• Maintain confidentiality of patient information and adhere to HIPAA guidelines. 
• Collaborate with the billing team and other departments to ensure accurate and efficient billing processes. 
• Provide training and guidance to staff members on O&P billing procedures and regulations. 
• Other duties as may be assigned to you from time to time. 

Candidate Requirements: 

• High school diploma or equivalent; certification or associate degree in medical billing and coding is preferred. 
• 2+ years of relevant experience handling medical claim denials, appeals, resubmissions, redeterminations, Additional Documentation Requests (ADRs), Prepayment Reviews, etc. 
• Experience in Orthotics or Prosthetics is strongly preferred, Home Medical Equipment or Durable Medical Equipment will be considered. 
• Strong knowledge of medical billing and coding practices, including CPT, HCPCS, and ICD-10 coding systems. 
• Knowledge of insurance guidelines, regulations, and reimbursement policies related to HME, Durible Medical equipment E, Complex Rehab Technologies and O&P services.  
• Familiarity with claim submission processes, including electronic claim submission, paper claim submission and coordination of benefits. 
• Proficient in using billing software, electronic health records (EHR), and other relevant computer systems. 
• Excellent attention to detail, analytical skills, and problem-solving abilities. 
• Strong communication skills, both written and verbal, with the ability to effectively interact with healthcare professionals, insurance companies, and patients. 
• Ability to work independently and prioritize tasks in a fast-paced environment. 
• Suitable work from home environment. 
• Knowledge of HIPAA regulations and patient privacy guidelines. 

Candidate Preferences: 

• Credentialing, enrollment, and accreditation experience would be preferred. 
• Understanding of medical terminology and HME, DME, and O&P terminology is highly desirable. 

*This job description is intended to provide a general overview of the responsibilities and requirements of the position. It is not exhaustive, and additional duties may be assigned as needed. 

Featured benefits 

• Medical insurance 
• Vision insurance 
• Dental insurance 

Interested in applying? Email us at Info@NymblSystems.com.

Posted on Nov 9, 2023. 

Are You Ready to Kickstart or Advance Your Career in SaaS and Healthcare Technology? 

You're the kind of person who gets a thrill from solving problems and making someone’s day easier. When a customer reaches out in frustration, you see it as a puzzle to crack—and you won’t stop until you find the solution. You’re patient, empathetic, and can translate tech-speak into plain English without breaking a sweat. 

You thrive in a fast-paced environment where every call, chat, or email brings a new challenge. Multitasking? That’s your middle name. You can juggle multiple tickets, keep your cool, and still bring the energy to deliver top-notch support. You take ownership of issues, follow up like a pro, and don’t rest until everything is running smoothly. 

You’re a fast learner who’s excited to dive deep into the world of healthcare SaaS, mastering the ins and outs of our software. Whether it’s troubleshooting an issue, guiding a client through a setup, or keeping meticulous notes to help your team, you’re always one step ahead. 

Most importantly, you bring a positive attitude to every interaction—because you know that great customer support isn’t just about fixing problems; it’s about building relationships. 

Key Responsibilities 

Manage assigned tickets in an efficient and expeditious manner while maintaining a high standard of customer service 

Answers requests from clients by phone, email and software chat covering a range of questions regarding technical, operational, setup, and instructional issues 

Answer complaints in an empathetic and professional manner while maintaining a positive attitude toward customers at all times 

Troubleshoot software and workflow issues for customers 

Take ownership of issues and provide efficient and detailed follow up to strategic resolution 

Become knowledgeable in the inner workings of the software and back end processes 

Maintain database of each call interaction with detailed notes to add to knowledge base for entire support team 

Requirements: 

Bachelor's degree or equivalent work experience 

Outstanding customer service skills 

Great interpersonal and communication skills 

Excellent decision making and organizational skills 

Ability to empathize and communicate with contentious customers 

Excellent time management skills and ability to multi-task and prioritize work 

A sense of ownership and pride in your performance and its impact on the company’s success 

Critical thinking and problem-solving skills 

Strong desire to help customers 

Ability to learn quickly  

Experience using Zendesk, Jira, and Microsoft Office products (preferred) 

Who We Are: 

Nymbl Systems is a fast-growing healthcare SaaS company providing modern EHR solutions tailored to the Home Medical Equipment (HME) and Orthotics & Prosthetics (O&P) sectors. We are dedicated to delivering technology that helps providers streamline operations, enhance patient care, and optimize inventory management and procurement processes. To learn more about Nymbl Systems watch this short video: https://www.youtube.com/watch?v=I35aZo7F1NM 

What we Offer: 

Health, Dental and Vision Insurance 

Company Paid Life Insurance 

401k 

Generous PTO 

Paid Holidays