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Medicare DME Billing & AR Specialist

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Job Description

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

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FAQs About Medicare DME Billing & AR Specialist Jobs at Valgorithm

What is the work location for this position at Valgorithm?
This job at Valgorithm is located in Fort Lauderdale, FL, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Valgorithm?
Employer has not shared pay details for this role.
What employment applies to this position at Valgorithm?
The employer has not provided this information. This may be discussed during the hiring process.
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