DME Billing Manager

Kestra Medical Technologies Inc.
$100,000 - $120,000Hybrid

About The Position

This position is responsible for supervising the day-to-day operations for the DME Billing team by supporting the timely & compliant billing of customer orders to federal, state and commercial insurance plans, and privately when no funding is available. A primary focus in supervising the Billing function is ensuring timely and accurate claim submissions to insurance plans and focusing on minimizing bad debt and continuously improving cash flow. This position will be the escalated point of contact for any issues, so they must be a keen problem solver. As a team manager this position will be responsible for driving a culture of inclusion and engagement through regular team meetings and 1:1s and team building activities.

Requirements

  • Bachelor's degree or equivalent experience
  • 5 years of experience in the DME / HME billing environment
  • Minimum of 3 years management experience
  • Strong background in federal and state laws and requirements relating to Healthcare policy
  • Proficiency with Microsoft Office Word, Excel, and PowerPoint
  • Applicants must be eligible to work for any employer in the U.S.

Nice To Haves

  • 6 years of Manager or above leadership experience
  • Experience with Bonafide
  • Experience with Salesforce

Responsibilities

  • Manage team of Billing Associates as assigned, including scheduling work shifts to effectively cover Kestra’s business needs.
  • Participate in team member hiring, training, coaching, and performance management.
  • Partake in leadership meetings as needed.
  • Assist in the development of training materials that will be shared across functions.
  • Manage multiple aspects of the billing function including identification and resolution of issues preventing claim submission, decision-making surrounding when to adjust balances, and overall accountability to achieving expected financial targets.
  • Ensure team members are entering critical data into the claim appropriately to obtain proper reimbursement from various funding sources through use of the Patient Management Billings System - Bonafide.
  • Partner with the collections leaders surrounding issues causing denials to allow for improvement and overall faster claims processing.
  • Develop strategic plans and programs for the Revenue Cycle process and ensure that goals and objectives are properly defined and clearly established.
  • Ensure insurance billings are current within the established timeframe specified in the department policy.
  • Communicate and collaborate with sales leaders to ensure issues impacting claim submission, including trends, are addressed and future issues do not repeat.
  • Adhere to Pledge of Confidentiality
  • Directly manage billing team members including but not limited to conducting performance reviews, providing feedback, and helping to set professional development goals.

Benefits

  • Medical
  • Dental
  • 401K with Match
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