DME Revenue Cycle Specialist

PACE Staffing Network • Canton, OH

16h • Remote

About The Position

This role works closely with internal teams, patients, providers, hospitals, and insurance payers to obtain updated prescriptions, authorizations, and documentation needed for reimbursement. The position supports prescription renewals and claims within the revenue cycle team for a growing medical device company.

Requirements

• 5-7+ years' experience with Medical billing experience involving Durable Medical Equipment (DME) claims is required.
• Experience using ICD-10 codes and working with Medicare and commercial insurance payers
• Ability to coordinate with multiple stakeholders including patients, physician offices, hospitals, and insurance companies
• Strong communication skills used to obtain documentation, prescriptions, and authorizations needed to close claims
• Demonstrated ability to manage high-volume work while maintaining accuracy and strong attention to detail
• Ability to work successfully in a remote environment while staying organized, dependable, and collaborative with a team

Responsibilities

• Manage prescription renewal workflows for durable medical equipment claims
• Identify patients approaching prescription expiration and initiate the renewal process
• Coordinate with patients, physician offices, hospital discharge teams, and insurance payers to obtain updated prescriptions and required documentation
• Secure prior authorizations and prescription renewals to support claim reimbursement
• Communicate with Medicare and commercial insurance payers regarding documentation requirements and claim status
• Track claims using a structured checklist to ensure all required materials are complete before submission
• Maintain accurate documentation of communications and claim updates in internal systems
• Collaborate with revenue cycle, sales, and field teams to resolve claim issues and support reimbursement

What This Job Offers

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