{"schemaVersion":"jobsearcher.job.v1","id":"66e00a2f16388993fe0c8f68","url":"https://jobsearcher.com/jobs/66e00a2f16388993fe0c8f68","canonicalUrl":"https://jobsearcher.com/jobs/66e00a2f16388993fe0c8f68","title":"Remote Medicare DME Billing & AR Specialist","description":"About Ease DMEEase 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 SummaryThis 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 ResponsibilitiesSubmit clean Medicare Part B DME claimsMonitor rejections and denialsPerform corrected claim submissionsManage AR aging and follow-up cadencePrevent timely filing expirationsCoordinate with documentation team on claim correctionsMaintain clean system notes and audit trail30-60-90 Day Plan30–60–90 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 CompensationCompetitive monthly compensation with performance bonus tied to:Clean-claim rateAR performanceTimely filing compliance 2+ years Medicare DME billing experienceExperience correcting and appealing denialsFamiliarity with clearinghouses and payer portals (Availity preferred)Experience with NikoHealth or similar DME systemStrong written and spoken EnglishStable remote work environmentPreferred:Urology or resupply billing experienceCGM billing exposure","company":"Valgorithm","rawCompany":"valgorithm","city":"Durham","state":"NC","isRemote":true,"isActive":false,"createdAt":"2026-07-15T05:23:04.134Z","occupations":[{"code":"43-3021.00","title":"Billing and Posting Clerks","slug":"billing-and-posting-clerks"},{"code":"29-2072.00","title":"Medical Records Specialists","slug":"medical-records-specialists"},{"code":"43-3011.00","title":"Bill and Account Collectors","slug":"bill-and-account-collectors"}],"industries":[{"code":"621999","title":"All Other Miscellaneous Ambulatory Health Care Services","slug":"all-other-miscellaneous-ambulatory-health-care-services"},{"code":"561440","title":"Collection Agencies","slug":"collection-agencies"},{"code":"532283","title":"Home Health Equipment Rental","slug":"home-health-equipment-rental"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Remote Medicare DME Billing & AR Specialist","description":"About Ease DMEEase 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 SummaryThis 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 ResponsibilitiesSubmit clean Medicare Part B DME claimsMonitor rejections and denialsPerform corrected claim submissionsManage AR aging and follow-up cadencePrevent timely filing expirationsCoordinate with documentation team on claim correctionsMaintain clean system notes and audit trail30-60-90 Day Plan30–60–90 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 CompensationCompetitive monthly compensation with performance bonus tied to:Clean-claim rateAR performanceTimely filing compliance 2+ years Medicare DME billing experienceExperience correcting and appealing denialsFamiliarity with clearinghouses and payer portals (Availity preferred)Experience with NikoHealth or similar DME systemStrong written and spoken EnglishStable remote work environmentPreferred:Urology or resupply billing experienceCGM billing exposure","datePosted":"2026-07-15T05:23:04.134Z","dateModified":"2026-07-15T05:23:04.134Z","hiringOrganization":{"@type":"Organization","name":"Valgorithm","sameAs":"https://jobsearcher.com"},"jobLocationType":"TELECOMMUTE","applicantLocationRequirements":{"@type":"Country","name":"US"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Durham","addressRegion":"NC","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"66e00a2f16388993fe0c8f68"},"url":"https://jobsearcher.com/jobs/66e00a2f16388993fe0c8f68"}}