AR RCM Specialist - DME

ResMed Inc; United States; Vor Ort; USD 22.000 - 26.000; Vollzeit

Benefits dieser Stelle

Medical coverage

Dental coverage

Vision coverage

Disability insurance

HSA

401(k)

Tuition assistance

Paid holidays

Zusammenfassung

ResMed Brightree, a leader in healthcare technology, seeks a Revenue Cycle Specialist in the United States to own client revenue cycle performance. You will manage AR, denials, and appeals, driving reimbursement outcomes while collaborating with global operations on processes and documentation.

Ideal candidates have 2+ years in DME/HME revenue cycle, strong knowledge of Medicare/Medicaid/Commercial payer rules, and proficiency in Excel.

Qualifikationen

• 2+ years in DME/HME Revenue Cycle Management
• Experience managing AR, denials, appeals, and reimbursement resolution
• Strong knowledge of payer billing requirements (Medicare/Medicaid/Commercial)
• Experience conducting trend analysis and root-cause investigations
• Ability to present findings and recommendations to clients and leadership
• Strong analytical and problem-solving skills with data-to-action translation
• Excellent written, verbal, and presentation communication
• Strong organizational skills and multi-priority management
• Independent work style with drive to resolve issues
• Experience collaborating across departments to support initiatives
• Experience creating and maintaining SOPs and process documentation

Aufgaben

• Own revenue cycle performance for assigned clients and act as primary operations contact
• Drive reimbursement outcomes via AR management, denials, appeals, and recovery activities
• Analyze payor and client data to identify trends, risks and opportunities
• Develop and maintain provider guides, SOPs and client-specific process docs
• Educate internal teams on reimbursement requirements and workflows to reduce denials
• Recommend and implement process and payer setup improvements
• Lead cross-functional collaboration to resolve operational challenges
• Prepare and present reporting and deep-dive analyses for decision-making
• Monitor compliance with Medicare/Medicaid/Commercial payer requirements and HIPAA
• Maintain end-to-end ownership of action plans and client outcomes

Kenntnisse

DME/HME Revenue Cycle

Accounts receivable

Denials & appeals

Medicare/Medicaid familiarity

Trend analysis

Data presentation

Excel proficiency

HIPAA knowledge

Cross-functional collaboration

Process SOPs

Ausbildung

High school diploma

Associate's degree

Bachelor's degree

Tools

Brightree

Microsoft Excel

Jobbeschreibung

What You’ll Do

Own the revenue cycle performance of assigned clients, serving as the primary operational contact and ensuring timely resolution of issues, risks, and escalations. Drive reimbursement outcomes through proactive accounts receivable management, denial resolution, appeals support, and revenue recovery activities. Analyze payor and client data to identify trends, root causes, risks, and opportunities that improve financial performance. Partner with global operations teams to monitor inventory, quality, productivity, and SLA adherence, ensuring consistent customer outcomes. Develop and maintain provider guides, SOPs, and client-specific process documentation that improve operational consistency and team effectiveness. Educate internal teams on reimbursement requirements, workflows, and best practices to reduce denials and improve revenue cycle performance. Recommend and implement process, workflow, payer setup, and pricing improvements that maximize reimbursement and increase efficiency. Lead cross-functional collaboration to resolve operational challenges, remove barriers, and support client success. Prepare and present reporting, deep-dive analyses, and recommendations that enable informed business decisions and stronger customer outcomes. Monitor compliance with Medicare, Medicaid, Commercial payer requirements, HIPAA, and internal policies while escalating identified risks when needed. Maintain end-to-end ownership of action plans and customer outcomes, ensuring issues are resolved through completion.

What You Bring

• High school diploma required
• Associate's or Bachelor's degree preferred
• 2+ years of DME/HME Revenue Cycle Management experience
• Experience managing accounts receivable, denials, appeals, and reimbursement resolution activities
• Strong knowledge of Medicare, Medicaid, and Commercial payer billing and reimbursement requirements
• Experience conducting trend analysis, root cause investigations, and identifying revenue cycle improvement opportunities
• Ability to present findings, recommendations, and performance insights to clients and leadership
• Strong analytical and problem-solving skills with the ability to translate data into action
• Excellent written, verbal, and presentation communication skills
• Strong organizational skills with attention to detail and the ability to manage multiple priorities effectively
• Demonstrated ability to work independently and drive issues through resolution
• Proficiency with Microsoft Office applications, particularly Excel
• Working knowledge of HIPAA and healthcare compliance requirements
• Experience collaborating across departments to support operational and customer-focused initiatives
• Experience creating and maintaining SOPs, process documentation, and operational guides
• Strong professional integrity and commitment to ethical decision-making
• Proven ability to achieve performance goals and deliver measurable revenue outcomes

Nice to Have

• Associate's or Bachelor's degree
• Experience using Brightree
• Experience supporting complex reimbursement optimization initiatives across multiple payors or client portfolios

What Sets You Apart

• Customer Advocate — You build trusted relationships and stay focused on helping customers achieve stronger financial and operational outcomes.
• Ownership Mentality — You take accountability for results, follow through on commitments, and drive issues to resolution.
• Continuous Improvement Focus — You look beyond immediate fixes to identify opportunities for sustainable process improvement.
• Analytical Curiosity — You enjoy uncovering patterns, asking questions, and finding the story behind the data.
• Collaborative Partner — You bring people together across teams to solve problems and achieve shared goals.
• Resilient Problem Solver — You remain focused and resourceful when navigating complex reimbursement and operational challenges.

Why Join ResMed

At Brightree by ResMed, technology serves a greater purpose: helping healthcare providers operate more efficiently so they can focus on delivering exceptional patient care. As part of our Revenue Cycle Management team, your work will directly impact customer success, financial outcomes, and the communities they serve. You'll join an organization committed to innovation, operational excellence, and continuous improvement, with opportunities to grow your expertise while making a meaningful contribution in the evolving healthcare technology industry.

Benefits and Compensation

At Resmed, we're shaping the future by investing in our people through competitive pay, flexible work arrangements, and programs that support personal and professional growth.

• Medical, dental, vision, life, AD&D, and disability insurance
• HSA, FSA, commuter benefits, and sleep care management
• 401(k), ESPP, EAP, and tuition assistance
• 15 days PTO in the first year for hourly employees / FTO for salaried employees
• 11 paid holidays plus 3 floating holidays
• Up to 14 weeks primary caregiver leave or 2 weeks secondary caregiver leave

Compensation: Compensation is based on factors including geographic location, qualifications, experience, skills, and internal equity.

Pay Range: $15.76 -19.89 USD

Resmed generally does not hire at or near the top of the pay range. For remote positions outside the U.S., compensation is determined based on geographic location, qualifications, experience, and skills.

Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, we commit to respond to every applicant.

Brightree is a wholly owned subsidiary of ResMed (NYSE: RMD, ASX: RMD). Visit www.brightree.com to learn more. As a global leader in health technology, ResMed has developed transformative cloud-connected medical devices and solutions for people with sleep apnea, COPD, and other chronic diseases. Today the company is applying this digital health expertise more broadly through the SaaS business, offering comprehensive software platforms that support healthcare providers in settings outside of the hospital. With this full suite of cloud-based EHR and business management systems supporting all aspects of care delivery for both home- and facility-based organizations, ResMed SaaS is changing the way care is delivered.

ResMed Corporation is an equal opportunity employer and provides equal opportunity in employment for all qualified persons, without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. (US/Canada only) ResMed is an equal opportunity/affirmative action employer. ResMed is an E-Verify Employer. ResMed is a smoke-free workplace. We are a 2024 Circle Back Initiative Employer — we commit to respond to every applicant!