Medicare DME Billing & AR Specialist

Valgorithm

Fort Lauderdale, FL

JOB DETAILS
LOCATION
Fort Lauderdale, FL
POSTED
30+ days ago

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

About the Company

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Valgorithm