Niko Health Billing Collections RCM Manager Continuous Glucose Monitors DME

Med Supply US; Quezon City; On-site; PHP 3,039,513 - 4,255,318; Full time

Job summary

Med Supply US is looking for a DME Billing & Collections Manager based in Quezon City, Philippines. This role entails overseeing billing operations, managing accounts receivable, and leading a team handling Medicare and commercial insurance claims.

The successful candidate will have more than 5 years of experience in DME billing, prefer experience with Continuous Glucose Monitoring (CGM), and a strong ability to manage billing workflows effectively. This is a full-time role with opportunities for growth.

Qualifications

• 5+ years of DME billing and collections experience.
• Experience working with Medicare billing.
• Strong understanding of billing workflows, denials, and payer follow-up.

Responsibilities

• Oversee DME billing workflows from claim submission to payment.
• Support billing for high-volume, recurring CGM claims.
• Manage accounts receivable and resolve claim denials.

Skills

DME billing experience

Claims management

AR management

Detail-oriented and organized

Leadership experience

Job description

About the Role

We are a growing Durable Medical Equipment (DME) company bringing our billing and collections operations fully in-house. We are seeking a DME Billing & Collections Manager to help lead day‑to‑day billing operations, manage accounts receivable, and support a growing team handling Medicare, Medicare Advantage, and commercial insurance claims.

Our primary product focus includes Continuous Glucose Monitoring (CGM) and other recurring DME supplies. Experience with CGM billing (e.g., Dexcom or similar) is strongly preferred, but we are open to experienced DME billing professionals who are comfortable learning CGM‑specific workflows.

This role is ideal for someone who understands how to get DME claims paid, manage AR effectively, and improve billing and collections processes – not just oversee reports.

This is not hospital billing and not physician‑office‑only billing.

Key Responsibilities

Billing & Collections Operations

• Oversee DME billing workflows from claim submission through payment.
• Support billing and collections for high‑volume, recurring CGM claims.
• Manage AR across:
  • Medicare Part B.
  • Medicare Advantage.
  • Commercial insurance.
• Ensure timely follow‑up on unpaid, underpaid, and denied claims.
• Monitor aging buckets (30/60/90+ days).

Denials & Resolution

• Review and resolve claim denials and payment discrepancies.
• Identify root causes of denials and implement corrective actions.
• Support appeals and payer escalations when needed.
• Communicate with payers to resolve billing issues.

Team & Process Management

• Support, guide, and help train billing and AR staff.
• Help define and enforce billing, collections, and documentation standards.
• Collaborate with documentation, intake, and operations teams.
• Improve workflows to reduce denials and AR aging.

Reporting & Accountability

• Track AR performance, cash collections, and denial trends.
• Provide leadership with visibility into billing performance.
• Assist with audit readiness and payer reviews.

Required Experience & Skills

• Applicants without Durable Medical Equipment (DME) billing experience will not be considered.
• 5+ years of DME billing and collections experience.
• Experience working with Medicare billing.Experience managing or leading billing and/or AR functions.
• Strong understanding of billing workflows, denials, and payer follow‑up.
• Organized, detail‑oriented, and process‑driven.
• Comfortable working in a fast‑paced, growing environment.

Strongly Preferred

• Experience with Continuous Glucose Monitoring (CGM) billing.
• Experience with Medicare Advantage and commercial insurance.
• Prior billing team leadership or lead experience.
• Experience with DME billing systems (e.g., Niko Health or similar).
• Experience with recurring DME or diabetic supply billing.

What This Role Is Not

• Not hospital billing.
• Not physician‑office‑only billing.
• Not entry‑level billing.
• Not a purely administrative role.

Compensation

• Competitive salary based on experience.
• Full‑time, long‑term role.
• Opportunity to grow with a scaling DME operation.

Why This Role Matters

This role plays a key part in stabilizing cash flow, reducing AR aging, and scaling billing operations as the company grows. You’ll have real influence over how DME billing and collections are run and work closely with leadership as the company continues to scale.