Valgorithm

Your Vision, Our Operational Partnership.

Medicare DME Billing, AR Specialist

Accounts ReceivableAccounts ReceivableFull TimeRemoteTeam 1-10H1B No SponsorCompany SiteLinkedIn

Location

Florida

Posted

32 days ago

Salary

Not specified

2 yrs expEnglish

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 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

Job 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

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