Medicare DME Billing & AR Specialist

About Ease DME Ease DME is a U.S.-based Durable Medical Equipment provider specializing in urology supplies. We are building a structured Medicare revenue cycle team and are hiring an experienced DME Billing & AR Specialist. Position Summary This role focuses exclusively on claim submission, denial management, and accounts receivable follow-up for Medicare and commercial DME claims. You must have hands‑on Medicare DME billing experience. Core Responsibilities Submit clean Medicare Part B DME claims Monitor rejections and denials Perform corrected claim submissions Manage AR aging and follow‑up cadence Prevent timely filing expirations Coordinate with documentation team on claim corrections Maintain clean system notes and audit trail 30-60-90 Day Plan 30–60–90 Day Success Plan – First 30 Days: Systems & Accuracy Learn company‑specific DME workflows, payer mix, and billing policies Understand Medicare vs MA vs Commercial billing and reimbursement rules Review common denial reasons and payer turnaround timelines Submit and track claims under supervision Achieve 90% claim accuracy by the end of 30 days Days 31–60: Ownership & Control Independently manage assigned claim and AR queues Resolve denials, rejections, and resubmissions end‑to‑end Coordinate with intake and documentation teams on root‑cause issues Maintain accurate aging reports and follow‑up cadence Reduce preventable denials by at least 20% Days 61–90: Optimization & Performance Fully own revenue cycle outcomes for assigned payors Identify payer trends affecting reimbursement speed or accuracy Improve clean‑claim and first‑pass payment rates Support appeals and recoupment defense Maintain 95%+ clean‑claim submission rate and controlled AR aging Compensation Competitive monthly compensation with performance bonus tied to: Clean‑claim rate AR performance Timely filing compliance 2+ years Medicare DME billing experience Experience correcting and appealing denials Familiarity with clearinghouses and payer portals (Availity preferred) Experience with NikoHealth or similar DME system Strong written and spoken English Stable remote work environment Preferred: Urology or resupply billing experience CGM billing exposure Scheduled/Location: Monday- Friday, 9am-5:30pm EST 1975 E Sunrise Blvd #527, Fort Lauderdale, FL 33304 #J-18808-Ljbffr Valgorithm