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Remote Medicare DME Billing & AR Specialist

GrabJobs

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

Vacancy posted 4 days ago
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