Medical Billing & AR Specialist - DME/Denials (Remote)

Jobrapido; Albuquerque (NM); Hybrid; USD 39,000 - 44,000; Full time

Benefits offered by this job

Monthly bonus opportunity

Job summary

Phothera is seeking a Medical Billing & Follow-Up Specialist to join the Revenue Cycle team during a pivotal growth phase. You will own follow-up on unpaid or delayed DME claims, work with Medicare/Medicaid and commercial payers, and help optimize cash flow as the company implements a new RCM platform.

You will identify root causes, improve workflows, and maintain compliant billing documentation while thriving in a role that supports both office and remote work arrangements.

Qualifications

• 2+ years in medical billing, AR, or revenue cycle management.
• Hands-on CPT/HCPCS and CMS-1500 claims experience.
• Experience with Medicare, Medicaid, and commercial payers.
• Strong payer follow-up and ability to interpret EOBs/ERAs.
• Ability to research issues and drive process improvements.
• Must be able to work independently with remote adaptability.

Responsibilities

• Track and resolve unpaid, underpaid, or delayed DME claims.
• Submit and follow up on Medicare, Medicaid, Commercial, and VA claims.
• Interpret EOBs and ERAs and apply payments accurately.
• Research payer policies and coverage requirements.
• Validate CMNs, prescriptions, proof of delivery, and prior authorizations.
• Submit appeals when necessary and monitor outcomes.
• Identify systemic issues and recommend process improvements.
• Maintain detailed, compliant documentation within the billing system.

Skills

Medical billing

Accounts receivable

Revenue cycle

CMS-1500 claims

Payer follow-up

EOBs/ERAs

Independent work

Remote adaptability

Tools

Billing software

Payer portals

Clearinghouse portals

Job description

Phothera is seeking a Medical Billing & Follow-Up Specialist to join the Revenue Cycle team during a pivotal growth phase. You will own follow-up on unpaid or delayed DME claims, work with Medicare/Medicaid and commercial payers, and help optimize cash flow as the company implements a new RCM platform.

You will identify root causes, improve workflows, and maintain compliant billing documentation while thriving in a role that supports both office and remote work arrangements.