(DME) / Healthcare Back Office Support

At iScale Solutions, we build dedicated teams that help businesses streamline operations and deliver exceptional service. As we expand our presence in the healthcare sector, we are building a talent pool for upcoming Durable Medical Equipment (DME) / Healthcare Back Office Support operations serving U.S. healthcare providers.

We are looking for detail-oriented DME / Healthcare Back Office Specialists to support key functions such as patient intake, insurance eligibility and benefits verification, prior authorization, order processing, medical documentation, billing, claims follow-up, and patient/provider coordination.

We value accuracy, accountability, attention to detail, and service excellence, especially in healthcare operations where quality and compliance are essential.

This opportunity is ideal for professionals with experience in DME/HME, U.S. healthcare BPO, medical billing, Revenue Cycle Management (RCM), insurance verification, prior authorization, healthcare administration, or patient support who want to grow with iScale's expanding healthcare services.

Key Responsibilities

Depending on assignment and specialization, responsibilities may include:

• Patient Intake & Order Processing: Process patient referrals and DME orders, verify patient and prescription information, review supporting documents, and coordinate missing requirements.

• Insurance Verification & Prior Authorization: Verify eligibility, benefits, and DME coverage with Medicare, Medicaid, and commercial payers; submit and follow up on authorization requests.

• Documentation & Compliance: Review prescriptions, SWOs, CMNs, and supporting clinical documentation to ensure completeness and compliance with payer and client requirements.

• Medical Billing & RCM: Prepare and submit DME claims, work with HCPCS codes and modifiers, monitor claim status, and support payment posting, AR, denials, appeals, and claim corrections.

• Patient, Provider & Payer Coordination: Communicate professionally with patients, healthcare providers, physician offices, and insurance payers regarding documentation, coverage, authorizations, billing, and order status.

• Maintain accurate, confidential, and timely records across assigned healthcare and client systems.

  
  
  

Requirements

Preferred Systems Experience

Experience with any of the following is an advantage:

• Brightree

• Parachute Health

• NikoHealth

• Availity

• Office Ally

• Electronic Medical Record (EMR/EHR) systems

• DME/HME billing and order-management platforms

• Insurance payer portals

• CRM and ticketing systems

Equivalent healthcare systems experience will also be considered.

Preferred Candidate Backgrounds

We welcome applicants with experience as:

• DME/HME Intake Specialist

• DME Order Processing Specialist

• Insurance Verification Specialist

• Eligibility & Benefits Specialist

• Prior Authorization Specialist

• Medical Billing Specialist

• DME Billing Specialist

• Accounts Receivable / AR Specialist

• Claims & Denials Specialist

• Revenue Cycle Management (RCM) Specialist

• Medical Documentation Specialist

• Healthcare Customer Service Representative

• Patient Support / Patient Care Coordinator

• Provider Services Representative

  
  
  

Key Competencies

Successful candidates should demonstrate:

• Accuracy and attention to detail

• Strong documentation skills

• Healthcare process awareness

• Analytical and problem-solving ability

• Ownership and accountability

• Effective communication

• Patient and customer service orientation

• Ability to meet productivity and quality targets

• Ability to work independently and collaboratively

• Confidentiality and professional handling of sensitive information

Work Setup: Onsite
Location: Makati City, Philippines
Schedule: Must be willing to work U.S.-aligned/night-shift schedules as required by the client.

Benefits

HMO on the Day1
Governtment Mandated Benifits