Medicare DME Billing, AR Specialist
Job Description:
- 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 trail30-60-90 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
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 environmentPreferred:
- Urology or resupply billing experience
- CGM billing exposure
Benefits: