Remote Medical Billing & AR Specialist (DME Focus)

Phothera Phototherapy; Charleston (SC); Hybrid; USD 39,000 - 44,000; Full time

Benefits offered by this job

Monthly bonus opportunity

Hybrid/remote work options

Growth potential

Job summary

Phothera Phototherapy, a Madison Industries company, is seeking a Medical Billing & Follow-Up Specialist to join the Revenue Cycle team. The role focuses on accounts receivable follow-up, resolving unpaid or delayed DME claims, and contributing to AR optimization during a system transition.

You will own follow-up, identify root causes, and work with Medicare, Medicaid, and commercial payers to improve cash flow and ensure accurate claim processing in a evolving environment.

Qualifications

• 2+ years of experience in medical billing, accounts receivable, reimbursement, or revenue cycle management.

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, LCDs and NCDs, and coverage requirements.
• Validate documentation including CMNs, prescriptions, proof of delivery, and prior authorizations.
• Submit appeals when necessary and monitor outcomes.

Skills

Medical Billing

Accounts Receivable

Revenue Cycle

CMS-1500 processing

EOBs/ERAs

Payer follow-up

AR analysis

Tools

Clearinghouse portals

CMS processing software

Job description

Phothera Phototherapy, a Madison Industries company, is seeking a Medical Billing & Follow-Up Specialist to join the Revenue Cycle team. The role focuses on accounts receivable follow-up, resolving unpaid or delayed DME claims, and contributing to AR optimization during a system transition.

You will own follow-up, identify root causes, and work with Medicare, Medicaid, and commercial payers to improve cash flow and ensure accurate claim processing in a evolving environment.