Job Description

Lets talk about Responsibilities

- Manage and oversee the revenue cycle process for DME/HME services, ensuring timely and accurate billing, claims submission, and payment posting.
- Conduct thorough AR follow-up and denial management, working closely with the billing teams to resolve outstanding issues and minimize AR aging.
- Maintain a comprehensive understanding of US payer policies, rules, and regulations, with a particular focus on Medicare, Medicaid, and other relevant insurance plans.
- Collaborate with internal teams, including billing, coding, and compliance, to ensure accurate and compliant claim submissions.
- Stay up-to-date with industry changes, including coding and billing requirements, reimbursement guidelines, and regulatory updates.
- Assist with internal and external audits, ensuring compliance with regulatory and contractual obligations.
- Participate in quality control activities, conducting audits and providing recommendations for process improvements.

Let’s talk about Qualifications and Experience

Required:





- Minimum 2 years of hands-on experience in Revenue Cycle Management within the DME/HME specialty.
- Robust knowledge and experience with AR follow-up and denial management processes.
- In-depth understanding of US payer management, including Medicare, Medicaid, and commercial insurance.
- Excellent written and verbal communication skills, with the ability to effectively communicate with internal teams, clients, and payers.
- Detail-oriented with exceptional analytical and problem-solving skills.
- Previous experience as an auditor and quality control specialist is preferred, but not mandatory.
- Ability to work independently and in a team-oriented environment.
- Strong organizational skills with the ability to prioritize tasks and meet deadlines.
- Up-to-date knowledge of coding and billing regulations, reimbursement guidelines, and industry trends.

Preferred:

- Bachelor’s degree.
- 2 years of related experience.
- Proficiency in using Brightree software is highly preferred.
- Developing professional expertise, applies company policies

📌 Rcm Specialist_DME/HME (Chennai)
🏢 Resmed
📍 Chennai