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.

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 atInfo@NymblSystems.com.

Nymbl, a cutting-edge O&P and CRT software platform, is at the forefront of revolutionizing healthcare technology. Our mission is to empower healthcare providers with innovative solutions to enhance patient care and streamline workflows. Join us in shaping the future of the industry through collaborative, customer-focused, and tech-driven approaches.

In order to be considered for this role and move forward with the application process, please take 5 – 8 minutes to fill out the assessment below. 

https://go.cultureindex.com/p/ohlUpfPpjSI7m9DhlL7x 

About the Job:

• Position: Implementation Specialist - O&P and CRT Software Platform 
  
• Location: Remote - USA. If in the Columbus, OH area, Hybrid schedule would be required. 
  
• Job Type: Full-time 

Responsibilities: 

As an Implementation Specialist at Nymbl, specializing in our CRT & O&P software platform, you will play a crucial role in ensuring successful customer onboarding and training. Your primary responsibilities include: 

• Customer Onboarding: 
• Lead the onboarding process for new customers, virtually guiding them through the seamless integration of our O&P and CRT software platform. 
• Work with various departments to create project plans and serve as the Project Manager for large scale implementations.
• Collaborate closely with the Training Specialists to understand customer requirements and tailor onboarding plans accordingly. 
• Effectively manage a schedule of 10+ customers at a time in the training and implementation phase.
• Assist with data transfers from current EMR to Nymbl. 
  
  
• Training Delivery: 
  
• Assist in developing customized training programs for customers, focusing on the practical application of our software in the O&P and CRT domains. 
• Translate customer business practices into hands-on training sessions to maximize software utilization. 
• If needed, facilitate training to end users.
  
  
• Customer-Facing Consultation: 
• Serve as the main point of contact for customer inquiries and concerns during the implementation phase. 
• Conduct needs assessments to understand customer workflows and customize training content accordingly. 
  
  
• Software Implementation: 
• Work closely with the software training team to ensure seamless alignment between customer needs and software functionality. 
• Provide valuable feedback and insights from customer interactions to contribute to software enhancements. 
  
  
• Documentation and Support: 
• Create user-friendly documentation and training materials to assist customers in optimizing their use of the O&P and CRT software platform. 
• Offer ongoing support via email & phone and follow-up training to address evolving customer needs. 

Qualifications: 

1. Bachelor’s degree in a related field (Health Informatics, O&P, Healthcare, Business, Communications, etc.). 
   
2. Strong project management skills, ensuring timely and successful customer onboarding. 
   
3. Proven experience in customer-facing roles, with a focus on software implementation and training. 
   
4. In-depth knowledge of Complex Rehab Technology (CRT) business practices, workflows, and industry standards 
   
5. Exceptional communication and interpersonal skills to effectively convey technical concepts to non-technical users. 
   
6. Ability to translate customer requirements into actionable training and implementation plans. 
   
7. Willingness to travel for on-site customer training sessions, workflow discovery or go live support. 

Preferred: 

1. The ideal candidate would have expertise in the Complex Rehab Technology space. Please feel free to also apply if you have experience within O&P or DME. 
   
2. Extra bonus points if you have experience within Nymbl Systems. 

Nymbl is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We are a unique team who love to have fun, but also take our jobs very seriously. Benefits and PTO are included for full-time employees. A healthy work-life balance is strongly encouraged. Apply today! 



• Note: This job description is not exhaustive and may be subject to change based on the needs of the organization. 

How to apply:

Please send resumes to ewilkes@nymblsystems.com