RCM Specialist – Quality, US Healthcare, DME/HME

🕒 June 12

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

ResMed

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1989

⚕️ Healthcare Insurance

☁️ SaaS

💰 Post-IPO Debt on 2019-07

Healthcare Insurance • SaaS

ResMed is a global leader in sleep technology and respiratory care, focused on improving out-of-hospital care to enhance the health and quality of life for individuals with chronic diseases. With over 30 years of innovation, ResMed develops life-changing technology and provides software platforms that support medical professionals and caregivers in helping patients manage their health from home or in preferred care settings. The company is committed to diversity and inclusion, supporting a wide range of professionals in building meaningful careers, and shaping the future of connected health care with the goal of impacting 250 million lives worldwide.

📋 Description

• Manage and oversee the revenue cycle process for DME/HME services, ensuring timely and accurate billing, claims submission, and payment posting. • Conduct thorough AR follow-up and denial management, working closely with the billing teams to resolve outstanding issues and minimize AR aging. • Maintain a comprehensive understanding of US payer policies, rules, and regulations, with a particular focus on Medicare, Medicaid, and other relevant insurance plans. • Collaborate with internal teams, including billing, coding, and compliance, to ensure accurate and compliant claim submissions. • Stay up-to-date with industry changes, including coding and billing requirements, reimbursement guidelines, and regulatory updates. • Assist with internal and external audits, ensuring compliance with regulatory and contractual obligations. • Participate in quality control activities, conducting audits and providing recommendations for process improvements.

🎯 Requirements

• Minimum 2 years of hands-on experience in Revenue Cycle Management within the DME/HME specialty. • Strong knowledge and experience with AR follow-up and denial management processes. • In-depth understanding of US payer management, including Medicare, Medicaid, and commercial insurance. • Excellent written and verbal communication skills, with the ability to effectively communicate with internal teams, clients, and payers. • Detail-oriented with exceptional analytical and problem-solving skills. • Previous experience as an auditor and quality control specialist is preferred, but not mandatory. • Ability to work independently and in a team-oriented environment. • Strong organizational skills with the ability to prioritize tasks and meet deadlines. • Up-to-date knowledge of coding and billing regulations, reimbursement guidelines, and industry trends. • Preferred: Bachelor’s degree. • 2 years of related experience. • Proficiency in using Brightree software is highly preferred.

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Remote work options