Medicare DME Billing & AR Specialist
Valgorithm
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
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