Medicare DME Billing & AR Specialist

Job Description

Job Description

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

Requirements

• 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