Process Associate / Senior Process Associate

You are an experienced and detail-oriented DME Billing & Audit Specialist sought by Unify Healthcare Services to join the Audit & Compliance team. Your expertise in Durable Medical Equipment (DME) billing, strong grasp of documentation compliance, and understanding of Medicare LCD guidelines are vital for ensuring billing accuracy, reducing denials, and maintaining audit readiness. Your responsibilities will include reviewing DME claims for accuracy, ensuring alignment with LCD and NCD policies, identifying documentation deficiencies, and collaborating with billing and intake teams to address issues efficiently. Your role will also involve providing recommendations for enhancing documentation quality, tracking audit outcomes, and contributing to compliance education through internal training sessions. To qualify for this position, you must have a minimum of 2 years of experience in DME medical billing and documentation review, comprehensive knowledge of Medicare LCD/NCD guidelines, familiarity with medical necessity documentation, CMNs, and physician orders, proficiency in DME billing software and EHR systems, exceptional attention to detail, and effective communication skills. Preferred skills for this role include prior experience in internal audits or compliance review, ability to manage high claim volumes effectively, and knowledge of denial management and appeals processes.,