rcm specialist

Psychiatry of Texas

RCM Specialist &ndash; Psychiatry &amp; Behavioral HealthFull-Time | Remote (Only Islamabad, Lahore, Multan)About PsychPlus:The current delivery model for mental health care in the United States is broken&mdash;and PsychPlus is on a mission to fix it.PsychPlus is reimagining how mental health care is delivered to every American through a digital-first, modern approach to psychiatry and therapy. We provide care both in-person at our offices across Texas and virtually, allowing patients to receive care when and where it&rsquo;s most convenient.By combining exceptional clinical care with best-in-class technology, we deliver an integrated, patient-centered mental healthcare experience. Join us as we work toward ensuring that every person has access to affordable, accessible, and high-quality mental health care.About the Role:We are seeking a skilled RCM Specialist to manage the complete revenue cycle operations for psychiatry and behavioral health services within the U.S. healthcare system. This is a remote opportunity, so we require someone who has the equipments to work remotely.The selected candidate will be responsible for the end-to-end billing lifecycle, including claim preparation and submission, denial management, accounts receivable (AR) follow-ups, and payment posting. Success in this role requires strong expertise in psychiatry billing codes, insurance guidelines, and medical billing systems, along with a proactive, detail-oriented approach.Key Responsibilities:<ul><li>Prepare, review, and submit accurate claims for psychiatry and behavioral health services, including therapy sessions, medication management, and psychiatric evaluations</li><li>Ensure correct usage of CPT, ICD-10, and HCPCS codes, with specific expertise in psychiatry codes such as 90791, 90833, 90834, 90837, 99213, and 99214</li><li>Submit electronic and paper claims to commercial insurance, Medicare, and Medicaid</li><li>Perform AR follow-ups and manage aged claims to ensure timely reimbursement</li><li>Investigate, resolve, and resubmit denied or rejected claims by identifying root causes and implementing corrective actions</li><li>Post payments using ERA/EOBs, reconcile billing records, and apply appropriate adjustments or write-offs</li><li>Collaborate with providers and internal teams to resolve discrepancies and obtain missing or incomplete documentation</li><li>Maintain strict compliance with HIPAA regulations and psychiatry billing requirements</li><li>Generate billing and performance reports and support team leadership with tracking and analysis</li></ul>Requirements:<ul><li>Intermediate/A-Levels or Bachelor&rsquo;s degree in Healthcare Administration, Finance, or a related field (preferred)</li><li>3&ndash;5 years of hands-on experience in U.S. medical billing and Revenue Cycle Management (RCM)</li><li>Availability to work remotely (Lahore, Islamabad, Multan)</li><li>Strong knowledge of the full RCM lifecycle for mental health and behavioral health services</li><li>Proficiency with EMRs and billing platforms (e.g., CMD or similar systems)</li><li>In-depth understanding of psychiatry billing codes, modifiers, and payer-specific insurance protocols</li><li>Experience with insurance verification, AR analysis, denial management, and payment posting</li><li>Excellent verbal and written communication skills in English</li><li>Proficiency in MS Excel, Google Sheets, and reporting tools</li></ul>Why Join PsychPlus?If you&rsquo;ve made it this far, we&rsquo;re excited to meet you.PsychPlus is a meritocratic, performance-driven startup that moves fast and values ownership and accountability. You may be required to wear multiple hats, adapt quickly, and consistently deliver results. In return, your scope of responsibility and opportunity to make an impact are uncapped.When you succeed at PsychPlus, our patients succeed&mdash;and together we move one step closer to solving the mental health crisis. We hope this role gives you both career-defining experience and the fulfillment that comes from meaningful work.Equal Opportunity EmployerPsychPlus is proud to be an Equal Opportunity Employer. We are committed to fostering an inclusive environment where every team member feels supported and empowered to be their authentic self. All applicants are evaluated solely on their qualifications, without regard to disability or need for accommodation.Job Type: Full-timePay: Rs50,000.00 - Rs180,000.00 per monthApplication Question(s):<ul><li>Do you have direct experience billing psychiatry or behavioral health services, including the use of psychiatry-specific CPT codes (e.g., 90791, 90834, 90837, 99213, 99214)?</li><li>Do you have hands-on experience using U.S. medical billing or RCM software (e.g., CMD, Kareo, Athena, AdvancedMD, eClinicalWorks, or similar platforms)?</li><li>What are your salary expectations?</li><li>Are you comfortable working remotely? Do you have a laptop or computer with stable internet?</li></ul>Experience:<ul><li>U.S. medical billing and Revenue Cycle Management (RCM): 1 year (Preferred)</li></ul>Work Location: Remote

RCM Specialist

AdaptHealth

<div>Description:

Revenue Cycle Management Specialist are responsible for maintaining a timely revenue cycle for all the goods and
services provided by AdaptHealth. Also responsible for maintaining patient confidentiality and function within the
guidelines of HIPAA. Completes assigned compliance training and other educational programs as required. Maintains
compliant with AdaptHealth&rsquo;s Compliance Program.
Essential Functions and Job Responsibilities:
Account Receivable<ul><li>
Ensure organization receives accurate payment for goods &amp; services provided according to contracted rates and/or payer fee schedules.</li><li>
Collect on accounts by sending bills or following up on bills with payers via phone, email, fax, mail, or websites.</li><li>
Reconcile the accounts receivable to ensure that all payments are accounted for and properly posted.</li><li>
Investigate and resolve customer inquiries regarding charges.</li><li>
Monitor patient account details for non-payments, delayed payments, and other irregularities.</li><li>
Communicate with customers regarding insurance, payments, and invoices.</li><li>
Research and resolve payment discrepancies.</li><li>
Identify and verify that billing complies with policies and procedures.</li><li>
Identify trends and root causes related to inaccurate payments and escalate as appropriate.</li></ul>
Authorization<ul><li>
Analyze daily requests to determine coverage and approval utilizing criteria.</li><li>
Utilize clinical staff for medial reviews when necessary.</li><li>
Notify staff when authorization is approved or denied.</li><li>
Obtain &amp; enter authorization into database timely &amp; accurately.</li><li>
Collaborates with internal &amp; external customers to provide status updates &amp; coordinate appeals on denied authorization.</li><li>
Resolves pending revenue by reconciling approved authorizations and pending charges.</li></ul>
Confirmation<ul><li>
Ensure order will bill correctly to insurance.</li><li>
Ensure order has valid proof of delivery.</li><li>
Address messages on sales order</li><li>
Correct messages as needed.</li><li>
Process order to correct WIP state or confirm order.</li></ul>
Data Support<ul><li>
Responsible for the daily claims submissions/printing for all eligible/ready status claims</li><li>
Resolves all claim rejections in a timely manner to guarantee submission within the timely filing requirements of the payers.</li><li>
Identifies claim rejections and escalates as appropriate to facilitate educational opportunities or process improvements.</li><li>
Maintains daily, weekly, monthly system/database functions and performs routine functions as defined by leadership.</li></ul>
Unbilled Revenue<ul><li>
Analyze documentation required for billing services and ensure compliance to payer requirements.</li><li>
Resolve pending revenue by reconciling received documentation and pending charges.</li><li>
Requests authorization from state Medicaid programs.</li><li>
Maintains and updates physician databases to ensure accurate delivery of billing documentation and communications with physician offices.</li><li>
Completes accurate documentation of authorization request and follow up activities on each account.</li><li>
Ensures proper payer and system follow up procedures are performed for accurate authorization tracking.</li><li>
Performs extensive account audits and ensures proper billing for services to the accurate payer.</li><li>
Ensures proper revenue recognition for billed charges and services moving forward.</li><li>
Completes all assigned requalification within the set 75-day time frame by having patients retested, picking up equipment when appropriate, or executing ABNs and setting patients up on autopay.</li><li>
Investigate and resolve customer, patient, or physician office, concerns regarding questions while working with the patient through the requalification process.</li><li>
Establish and maintain relationships with key individuals in the regions to support the requalification process setting clear expectations of what is required by the region.</li></ul>
Patient Financial Services<ul><li>
Identify trends and root causes related to inaccurate private pay billing, and report to manager while resolving account errors.</li><li>
Investigate escalated customer billing inquiries and take appropriate action to resolve the account.</li><li>
Resolve private pay charges for returned payments due returned payments.</li><li>
Resolve accounts pertaining to patient account inaccuracies or patient demographics.</li><li>
Respond to Collection agency regarding patient disputes of balances owed on accounts.</li><li>
Enroll patients calling regarding financial responsibility and enroll in autopay.</li></ul>
RCM System (CPTM):<ul><li>
Responsible for updating data elements that drive revenue generation and decrease denial rates.</li><li>
Work collaboratively with RCM leadership to maximize RCM overall productivity.</li><li>
Adhere to frameworks and maintain documentation appropriately.</li><li>
Assume responsibility for independent completion of tasks and small projects.</li></ul>
All RCM Specialist responsibilities:<ul><li>
Educate patients, staff and providers regarding authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance changes or trends.</li><li>
Maintains an extensive knowledge of different types of payer coverage, insurance policies, payer guidelines and payer contracts ensure accurate billing and timely payment is received.</li><li>
Responsible for entering data in an accurate manner, into database including although not limited to payer, authorization requirements, coverage limitations and status of any requalification.</li><li>
Collaborates with physician offices, AdaptHealth sales and support staff to ensure timely receipt of documentationas well as educating, as necessary.</li><li>
Identify trends and providing feedback and education to internal and external customers on compliant documentation requirements for services provided.</li><li>
Develop and maintain working knowledge of current HME products and services offered by the company.</li><li>
Maintain patient confidentiality and function within the guidelines of HIPAA.</li><li>
Completes assigned compliance training and other educational programs as required.</li><li>
Maintains compliant with AdaptHealth&rsquo;s Compliance Program</li><li>
Performs other related duties as assigned.</li></ul>
Requirements:

Competency, Skills and Abilities:<ul><li>
Decision Making</li><li>
Analytical and problem-solving skills with attention to detail</li><li>
Strong verbal and written communication</li><li>
Excellent customer service skills</li><li>
Proficient computer skills and knowledge of Microsoft Office</li><li>
Ability to prioritize and manage multiple tasks.</li><li>
Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.</li></ul>
Education and Experience Requirements:<ul><li>
High School Diploma or equivalent</li><li>
One (1) year work related experience in health care administrative, financial, or insurance customer services,</li><li>
claims, billing, call center or management regardless of industry.</li><li>
Senior level requires two (2) years of work-related experience and one (1) year of exact job experience.</li><li>
Exact job experience is considered any of the above tasks in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.</li></ul></div>

Senior RCM Specialist

<div>Description:

Position Summary
The Lead, Revenue Cycle Management Specialist is the subject matter expert for insurance payer accounts receivables
and will be responsible for assisting the management team with leadership oversight of the RCM domestic and global
teams. This individual will provide work assignments, feedback, training, and guidance to ensure RCM staff is following
department protocol with RCM processes. The Lead for RCM will handle escalated phone calls from patients or
insurance companies that cannot be effectively resolved by offshore staff. This individual will work closely with the supervisor
and management to identify payor trends and develop RCM process improvements.
Essential Functions and Job Responsibilities:<ul><li>
 Mentors guide and provide oversight assistance to the team. The majority of AdaptHealth RCM team members are located offshore.</li><li>
 Applying subject expertise in evaluating business operations and processes.</li><li>
 Identifying areas where technical solutions would improve business performance.</li><li>
 Consulting across teams, providing mentorship, and contributing specialized knowledge.</li><li>
 Demonstrated various techniques and documentation to streamline the production process.</li><li>
 Identify team members' strengths and opportunities and report findings to supervisors</li><li>
 Respond to internal inquiries for coaching assistance via the subject matter expert queue, office communicator, and email</li><li>
 Assume responsibility for resolving team member escalations by working with multiple business partners while consistent communication is present with the member</li><li>
 Coach others on how to navigate through systems to find information needed for calls</li><li>
 As a Subject Matter Expert, assist with training new employees and assist other CSRs with problems they encountered while interacting with members over the phone; addressed escalated customer questions and concerns</li><li>
 Performed ad hoc deep-dive analyses for specific business problems.</li><li>
 Training and development of team members to ensure AdaptHealth policy and protocol are being followed.</li><li>
 Take escalated phone calls that cannot be effectively resolved by team members.</li><li>
 Communicate with other departments, front end staff regarding billing issues and trends to work toward an account resolution and decrease insurance denial percentages within AdaptHealth.</li><li>
 Handle all insurance payer disputes that are filtered into the department.</li><li>
 Identify trends and root causes related to inaccurate insurance billing, and report to the manager while resolving account errors.</li><li>
 Assists in conducting team meetings to educate on insurance guidelines, claim denials, and re-training efforts on accounts incorrectly worked.</li><li>
 Develops and enhances the process and payer-specific work job aids and standard operating procedures.</li><li>
 Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account.</li><li>
 Provides quality payer feedback to other AdaptHealth leadership.</li><li>
 Develop and maintain a working knowledge of current AdaptHealth products and services offered by the company.</li><li>
 Maintain patient confidentiality and function within the guidelines of HIPAA.</li><li>
 Completes assigned compliance training and other educational programs as required.</li><li>
 Maintains compliance with AdaptHealth&rsquo;s Compliance Program.</li><li>
 Perform other related duties as assigned.</li></ul>
Competency, Skills, and Abilities:<ul><li>
 Decision Making</li><li>
 Strong analytical and problem-solving skills with attention to detail</li><li>
 Excellent verbal and written communication</li><li>
 Excellent customer service skills</li><li>
 Proficient computer skills and knowledge of Microsoft Office</li><li>
 Ability to prioritize and manage multiple projects</li><li>
 Solid ability to learn new technologies and possess the technical aptitude required to understand the flow of data through systems as well as system interaction</li><li>
 Understanding and identifying priority orders</li><li>
 Extensive knowledge of products offered and the required paperwork to ensure we can bill for those products</li><li>
 Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.</li></ul>
Requirements:

Education and Experience Requirements:<ul><li>
 High School Diploma required; Associated degree preferred</li><li>
 Three (3) years related work experience in health care administrative, financial, insurance, customer services, claims, billing, call center, or management regardless of industry required</li><li>
 Two (2) exact job experience in HME, Diabetic, home medical supplies, Pharmacy, HH environment is preferred.</li><li>
 Exact job experience is considered any of the above tasks in a Medicare-certified HME, IV, or HH environment that routinely bills insurance.</li></ul>
Physical Demands and Work Environment:<ul><li>
 The work environment may be stressful at times, as overall office activities and work levels fluctuate</li><li>
 Must be able to bend, stoop, stretch, stand, and sit for extended periods of time</li><li>
 Subject to long periods of sitting and exposure to a computer screen</li><li>
 Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use</li><li>
 Mental ability to convey knowledge and mentor others</li><li>
 Mental ability to analyze information, problem solve and identify areas of opportunity</li><li>
 Must be able to lift 30 pounds as needed</li><li>
 Excellent ability to communicate both verbally and in writing</li><li>
 May be exposed to angry or irate customers or patients</li></ul></div>

Lead, RCM Specialist

Eyecare Partners

<div><div>EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.</div>
Job Title: RCM Specialist

Must reside in the following states: AL, AZ, FL, GA, IL, IN, KS, KY, MI, MN, MO, NC, NJ, OH, OK, PA, TX, VA 


Job Summary

As a member of the Revenue Cycle Management Team, the RCM Specialist is a subject matter expert regarding RCM processes and procedures necessary for EyeCare Partner Practices. The RCM Specialist may be responsible for multiple elements including, but not limited to: Billing, Coding, Payment Posting, Accounts Receivable (A/R) follow up, insurance claim submission and managing customer services requests from patients

Duties and Responsibilities
<ul>
<li><ul><li>Prepare, review, and transmit claims using billing software including electronic, website submission, and paper claim processing</li></ul></li>
<li><ul><li>Post payments both electronically and manually into the practice management system according to set standards and productivity measures.</li></ul></li>
<li><ul><li>Status unpaid claims within standard billing cycle timeframe</li></ul></li>
<li><ul><li>Timely review/handling of insurance claim denials, exceptions, or exclusions</li></ul></li>
<li><ul><li>Forwards requests for medical records to appropriate internal resources</li></ul></li>
<li><ul><li>Addresses/corrects demographic information requested by insurance company</li></ul></li>
<li><ul><li>Ability to read and accurately interpret insurance Explanation of Benefits (EOB's)</li></ul></li>
<li><ul><li>Verifying insurance payments for accuracy/compliance based on contracts to ensure correct reimbursement is received</li></ul></li>
<li><ul><li>Following up directly with insurance companies regarding payment discrepancies</li></ul></li>
<li><ul><li>Utilizing aging reports and workflow statuses to address any unpaid or open claims over 30, 60, 90, and 120 plus</li></ul></li>
<li><ul><li>Coordination of Benefits (COB) &ndash; Ability to Identifying and bill secondary or tertiary</li></ul></li>
<li><ul><li>Documenting denials associated with patient responsibility to forward to the collection team</li></ul></li>
<li><ul><li>Ability to research and appeal denied claims</li></ul></li>
<li><ul><li>Answering all patient or insurance telephone inquiries pertaining to assigned accounts</li></ul></li>
<li><ul><li>Report payment discrepancies or denial trends identified to Supervisor as soon as they are identified for assigned accounts</li></ul></li>
<li><ul><li>Keep supervisor abreast weekly of any concerns or issues associated with accounts</li></ul></li>
<li><ul><li>Adhering to company standards of compliance with policies and procedures</li></ul></li>
<li><ul><li>Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.</li></ul></li>
<li><ul><li>Performs other duties that may be necessary or in the best interest of the organization.</li></ul></li></ul> 


Education, Licensure &amp; Certification Requirements

High School Diploma or GED

CPC, RHIT, CCS, or CMC Coding Credentials preferred 


Experience Requirements

3+ years of Medical Insurance Billing. Ophthalmology Practice preferred. 


Knowledge, Skills and Abilities Requirements
<ul>
<li>Experience with CPT and ICD-10; Familiarity with medical terminology</li>
<li>Knowledge of billing procedures and collection techniques</li>
<li>Strong written and verbal communication skills</li>
<li>Detail oriented, professional attitude, reliable Consistent production results</li>
<li>Logical, Critical thinking, and research skills</li>
<li>Excellent organization, time management, and prioritization skills</li>
<li>Professional in appearance and actions</li>
<li>Customer-focused with excellent written, listening and verbal communication skills</li>
<li>Enjoys learning new technologies and systems</li>
<li>Exhibits a positive attitude and is flexible in accepting work assignments and priorities</li>
<li>Meets attendance and tardiness expectations</li>
<li>Management and organizational skills to support the leadership of this function</li>
<li>Ability to follow or provide verbal &amp; written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations</li>
<li>Interpersonal skills to support customer service, functional, and teammate support need</li>
<li>Able to communicate effectively in English, both verbally and in writing Intermediate computer operation Proficiency with Microsoft Excel, Word, PowerPoint and Outlook Practice management software and clearing houses experience</li>
<li>Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines</li></ul> 


Location/Work Environment:

For on-site team members, work takes place in a normal office/clinical environment. Travel to other locations may be necessary to fulfill the essential duties and responsibilities of the job. Thus, those needing to travel for work must have access to dependable transportation, and their driving record must meet company liability carrier standards.

For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives. 


If you need assistance with this application, please contact (636) 227-2600

Please do not contact the office directly &ndash; only resumes submitted through this website will be considered 


EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Please do not contact the office directly &ndash; only resumes submitted through this website will be considered

NOTE: Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.</div>

OPH/RCM Specialist

Caregenix Solutions

Role: RCM Specialist Location: Cherry Plaza, DHA Phase 2, Karachi Shift: 6:00 PM &ndash; 3:00 AM (US Hours) Compensation: Competitive Salary + Fuel Allowance / TransportRequirements: <ul><li>3&ndash;5 years of proven experience in Medical Billing / Revenue Cycle Management.</li><li>Strong understanding of US healthcare billing processes, insurance claims, and denials management.</li><li>Excellent English communication skills (written &amp; spoken).</li><li>Leadership skills and ability to mentor junior team members.</li><li>Detail-oriented, analytical, and results-driven.</li></ul>What We Offer:<ul><li>A competitive compensation package</li><li>Opportunities for career growth and leadership roles</li><li>A collaborative and supportive work environment</li></ul>Job Type: Full-timePay: Up to Rs150,000.00 per monthApplication Question(s):<ul><li>What is your expected pay?</li></ul>Work Location: In person

RCM Specialist/Medical billing Specialist

The Inventor Solutions

Position Title: Senior Billing Specialist &ndash; Dental RCM Location: On-site (Rawalpindi) Shift: Night Shift (9:00 PM to 6:00 AM) Company: The Inventor Solutions Experience Required: Minimum 2&ndash;3 years in Dental BillingJob Summary:We are seeking an experienced Senior Billing Specialist to join our Dental RCM team. The ideal candidate must have a strong command over the end-to-end billing process for dental practices, including claims submission, payment posting, AR follow-ups, and denial management. This is an on-site, full-time night shift position.Key Responsibilities:<ul><li>Submit dental claims (electronic and paper) to insurance carriers accurately and on time</li><li>Review EOBs/ERAs and post payments to the billing system</li><li>Perform Account Receivable follow-ups for unpaid or denied claims</li><li>Correct and resubmit rejected claims</li><li>Verify insurance benefits and coverage when required</li><li>Communicate with insurance companies via phone and online portals</li><li>Collaborate with verification and credentialing teams to ensure clean claims</li><li>Generate aging reports and track AR performance</li><li>Train and support junior billing staff if assigned</li><li>Maintain patient and provider confidentiality at all times</li><li>Update and maintain billing software with relevant payer information</li></ul>Qualifications:<ul><li>2 to 3 years of proven experience in dental billing (U.S. market)</li><li>Strong knowledge of CDT codes, dental procedures, and insurance guidelines</li><li>Familiarity with dental billing software (such as Dentrix, Eaglesoft, Open Dental, etc.)</li><li>Understanding of HIPAA and RCM compliance requirements</li><li>Excellent written and verbal communication skills</li><li>Detail-oriented and comfortable working under deadlines</li><li>Ability to work independently and as part of a team</li><li>Must be able to work on-site during night shift (9:00 PM to 6:00 AM)</li></ul>Work Location: In person

Senior Billing Specialist - Dental Billing

EqualizeRCM Services

Job Title: DME Sales Support/RCM Specialist The CompanyEqualizeRCM is a premier provider of specialized consulting and remote revenue cycle management services. Our team comprises top-tier professionals &ndash; CEOs, CFOs, RCM operations managers, Six Sigma practitioners, CTOs, and seasoned consultants &ndash; dedicated to delivering comprehensive revenue cycle solutions to clients of all sizes from one provider offices to rural community hospitals to nation-wide urgent care chains.The RoleThe Durable Medical Equipment Sales Support/RCM Specialist serves as the primary point of contact for DME sales representatives/distributors, ensuring excellent customer service throughout the order process, as well as complete and accurate order process. This role also serves as a lead supporting revenue cycle management (RCM) operations, leading offshore team agents, and assisting with client account performance. The position requires strong communication, organizational, and leadership skills to deliver high-quality service and operational excellence.Responsibilities and Duties<ul><li>Serve as the first point of contact for DME sales representatives/distributors, addressing inquiries, providing order status updates, and resolving issues with professionalism and patience.</li><li>Lead and mentor a small team of offshore agents, providing training, guidance, and performance feedback.</li><li>Support account management activities, including assisting with new sales representative/distributor onboarding and day-to-day RCM operations.</li><li>Facilitate effective communication between sales representatives/distributors, providers, payers, and internal teams.</li><li>Adhere to SLAs, such as turnaround times, customer satisfaction scores, etc.</li><li>Ensure compliance with HIPAA, Medicare, and organizational policies.</li><li>Assist with troubleshooting and resolving RCM issues, serving as a subject matter expert for the team.</li><li>Participate in virtual meetings to build relationships and resolve issues.</li><li>Support software implementation and process improvements for assigned accounts.</li><li>Perform other duties as assigned.</li></ul>Required Experience and Qualifications<ul><li>Extensive knowledge of healthcare revenue cycle management (facility and/or professional billing, insurance eligibility and prior authorization, and workflow optimization), specific to DME.</li><li>Minimum 2-3 years&rsquo; experience in patient services, healthcare billing, or account management, DME specific preferred.</li><li>Demonstrated ability to lead and develop team members.</li><li>Excellent communication skills, both oral and written, with the ability to interact confidently with sales representatives/distributors, providers, and internal staff.</li><li>Strong customer service orientation and problem-solving skills.</li><li>Analytical skills to interpret data, prepare reports, and draw actionable insights.</li><li>Proficiency with healthcare billing systems and Microsoft Office Suite.</li><li>Ability to travel occasionally for client meetings or training (if required).</li><li>Commitment to compliance and confidentiality standards.</li><li>Prior experience in a team lead or junior account manager role within healthcare, especially DME-related, preferred.</li></ul>Job Type: Full-time.Benefits:<ul><li>401(k) program with generous company match</li><li>Health benefit plans (medical, dental, vision)</li><li>Life insurance policy</li><li>Generous PTO policy</li><li>Long Term Disability</li></ul>Work Location: RemoteJob Type: Full-timeBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Disability insurance</li><li>Flexible schedule</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Application Question(s):<ul><li>This job has an anticipated start date of March 1st. Does this work for you?</li></ul>Experience:<ul><li>Healthcare DME: 3 years (Required)</li></ul>Work Location: Remote

DME Jr. Case Manager

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