AR RCM Specialist - DME

What You'll Do

• Own the revenue cycle performance of assigned clients, serving as the primary operational contact and ensuring timely resolution of issues, risks, and escalations.
• Drive reimbursement outcomes through proactive accounts receivable management, denial resolution, appeals support, and revenue recovery activities.
• Analyze payor and client data to identify trends, root causes, risks, and opportunities that improve financial performance.
• Partner with global operations teams to monitor inventory, quality, productivity, and SLA adherence, ensuring consistent customer outcomes.
• Develop and maintain provider guides, SOPs, and client-specific process documentation that improve operational consistency and team effectiveness.
• Educate internal teams on reimbursement requirements, workflows, and best practices to reduce denials and improve revenue cycle performance.
• Recommend and implement process, workflow, payer setup, and pricing improvements that maximize reimbursement and increase efficiency.
• Lead cross-functional collaboration to resolve operational challenges, remove barriers, and support client success.
• Prepare and present reporting, deep-dive analyses, and recommendations that enable informed business decisions and stronger customer outcomes.
• Monitor compliance with Medicare, Medicaid, Commercial payer requirements, HIPAA, and internal policies while escalating identified risks when needed.
• Maintain end-to-end ownership of action plans and customer outcomes, ensuring issues are resolved through completion.

What You Bring

• High school diploma required; Associate's or Bachelor's degree preferred.
• 2+ years of DME/HME Revenue Cycle Management experience.
• Experience managing accounts receivable, denials, appeals, and reimbursement resolution activities.
• Strong knowledge of Medicare, Medicaid, and Commercial payer billing and reimbursement requirements.
• Experience conducting trend analysis, root cause investigations, and identifying revenue cycle improvement opportunities.
• Ability to present findings, recommendations, and performance insights to clients and leadership.
• Strong analytical and problem-solving skills with the ability to translate data into action.
• Excellent written, verbal, and presentation communication skills.
• Strong organizational skills with attention to detail and the ability to manage multiple priorities effectively.
• Demonstrated ability to work independently and drive issues through resolution.
• Proficiency with Microsoft Office applications, particularly Excel.
• Working knowledge of HIPAA and healthcare compliance requirements.
• Experience collaborating across departments to support operational and customer-focused initiatives.
• Experience creating and maintaining SOPs, process documentation, and operational guides.
• Strong professional integrity and commitment to ethical decision-making.
• Proven ability to achieve performance goals and deliver measurable revenue outcomes.

Nice to Have

• Associate's or Bachelor's degree.
• Experience using Brightree.
• Experience supporting complex reimbursement optimization initiatives across multiple payors or client portfolios.

What Sets You Apart

• Customer Advocate — You build trusted relationships and stay focused on helping customers achieve stronger financial and operational outcomes.
• Ownership Mentality — You take accountability for results, follow through on commitments, and drive issues to resolution.
• Continuous Improvement Focus — You look beyond immediate fixes to identify opportunities for sustainable process improvement.
• Analytical Curiosity — You enjoy uncovering patterns, asking questions, and finding the story behind the data.
• Collaborative Partner — You bring people together across teams to solve problems and achieve shared goals.
• Resilient Problem Solver — You remain focused and resourceful when navigating complex reimbursement and operational challenges.