AR & Revenue Cycle Specialist — DME/HME Expert

ResMed Inc; United States; On-site; USD 22,000 - 26,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Disability insurance

HSA

401(k)

Tuition assistance

Paid holidays

Job summary

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.

Qualifications

• 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

Responsibilities

• 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

Skills

DME/HME Revenue Cycle

Accounts receivable

Denials & appeals

Medicare/Medicaid familiarity

Trend analysis

Data presentation

Excel proficiency

HIPAA knowledge

Cross-functional collaboration

Process SOPs

Education

High school diploma

Associate's degree

Bachelor's degree

Tools

Brightree

Microsoft Excel

Job description

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.