DME Revenue Cycle Manager (Durable Medical Equipment)

Med Supply US

4d • Remote

About The Position

This role is for a DME Revenue Cycle Manager responsible for owning the accounts receivable (AR) for Med Supply US, a Medicare-accredited DMEPOS supplier specializing in continuous glucose monitor supplies. The company has brought billing in-house and uses Zoho CRM integrated with NikoHealth. The manager will oversee a billing team, analyze AR aging, identify root causes of payment delays, and implement solutions. This is not a claims processing or call center job, but a strategic role focused on ensuring the company gets paid by addressing systemic issues in billing, documentation, payer enrollment, or coordination of benefits. The role requires direct supervision of billers, follow-up specialists, and payment posters, with a strong emphasis on accountability, compliance with Medicare LCD requirements, and process improvement through documentation and SOP creation.

Requirements

• Minimum 4 years in U.S. medical billing and revenue cycle on the provider or supplier side.
• Minimum 2 years specifically in durable medical equipment (DMEPOS) billing.
• Deep working knowledge of Medicare Part B DME billing: LCDs, HCPCS, modifiers (KX, GA, GY, GZ, RT, LT, and similar), documentation requirements, and Medicare Administrative Contractors.
• Demonstrated denial management experience: reading EOBs and ERAs, interpreting CARC and RARC codes, determining root cause, and pursuing appeals, reopenings, and corrected claims.
• Experience with payer enrollment and credentialing issues as a cause of non-payment.
• Hands-on experience with a clearinghouse and payer portals.
• Real supervisory experience with direct reports and accountability for their output.
• Reliable high-speed internet, backup power or backup connection, and a private, HIPAA-appropriate workspace.
• Willing and able to work U.S. Eastern hours consistently.

Nice To Haves

• Diabetic supply or CGM billing experience (Dexcom, Libre, or similar).
• Experience with NikoHealth, Brightree, TIMS, or comparable DME billing platforms.
• Experience with Zoho CRM.
• Experience responding to Medicare TPE, prepayment review, or RAC audits.
• Experience with Medicare Advantage and commercial DME plans.

Responsibilities

• Own the AR: Pull and analyze AR aging by payer, by aging bucket, and by denial reason.
• Identify concentrations: which payer, which plan, which product, and which CARC or RARC code is holding the most dollars.
• Sample claims, find the common cause, and drive it to resolution rather than reworking claims one at a time.
• Solve root causes, not symptoms: Determine whether non-payment is a billing error, a documentation gap, a payer enrollment or credentialing gap, a clearinghouse or payer ID mapping issue, or a coordination of benefits problem.
• Get secondary and tertiary payers correctly configured in NikoHealth and Zoho, including payer IDs and Change Healthcare payer codes.
• Work with payer provider representatives, portals, and enrollment departments until the issue is closed.
• Handle overpayments, recoupments, and refund requests correctly and on time.
• Manage the team: Direct supervision of billers, follow-up specialists, and payment posters.
• Daily and weekly accountability: Are claims actually going out? Is follow-up actually happening? Are payments actually posting?
• Build and maintain reporting so you know the answer before you ask anyone.
• Coach, correct, and escalate performance issues without being asked to.
• Protect compliance: Ensure claims are billed cleanly against Medicare LCD requirements, with correct modifiers and complete supporting documentation.
• Support audit and appeal work, including documentation pulls, cover pages, and organized submissions.
• Understand that every claim we bill should be able to survive a records request.
• Write it down: Turn what you fix into a documented SOP so it stays fixed.
• Improve existing workflows rather than absorbing broken ones.

Benefits

• Competitive compensation based on demonstrated DME revenue cycle depth and supervisory experience.
• Night differential included.
• Opportunity to stay and grow with the company.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed