Medicare DME Billing - Fort Lauderdale - Valgorithm

    Valgorithm
    Valgorithm Fort Lauderdale

    14 hours ago

    Full time
    Description

    About Ease DME

    Ease DME is a U.S.-based Durable Medical Equipment provider specializing in urology supplies. We are building a structured Medicare revenue cycle team and are hiring an experienced DME Billing & AR Specialist.

    Position Summary

    This role focuses exclusively on claim submission, denial management, and accounts receivable follow-up for Medicare and commercial DME claims.

    You must have hands-on Medicare DME billing experience.

    Core Responsibilities

    • Submit clean Medicare Part B DME claims
    • Monitor rejections and denials
    • Perform corrected claim submissions
    • Manage AR aging and follow-up cadence
    • Prevent timely filing expirations
    • Coordinate with documentation team on claim corrections
    • Maintain clean system notes and audit trail

    30-60-90 Day Plan

    30–60–90 Day Success Plan – First 30 Days: Systems & Accuracy 


    • Learn company-specific DME workflows, payer mix, and billing policies 


    • Understand Medicare vs MA vs Commercial billing and reimbursement rules 


    • Review common denial reasons and payer turnaround timelines 


    • Submit and track claims under supervision 


    • Achieve 90% claim accuracy by the end of 30 days 

    Days 31–60: Ownership & Control 


    • Independently manage assigned claim and AR queues 


    • Resolve denials, rejections, and resubmissions end-to-end 


    • Coordinate with intake and documentation teams on root-cause issues 


    • Maintain accurate aging reports and follow-up cadence 


    • Reduce preventable denials by at least 20% 

    Days 61–90: Optimization & Performance 


    • Fully own revenue cycle outcomes for assigned payors 


    • Identify payer trends affecting reimbursement speed or accuracy 


    • Improve clean-claim and first-pass payment rates 


    • Support appeals and recoupment defense 


    • Maintain 95%+ clean-claim submission rate and controlled AR aging

    Compensation

    Competitive monthly compensation with performance bonus tied to:

    • Clean-claim rate
    • AR performance
    • Timely filing compliance

    Requirements

    • 2+ years Medicare DME billing experience
    • Experience correcting and appealing denials
    • Familiarity with clearinghouses and payer portals (Availity preferred)
    • Experience with NikoHealth or similar DME system
    • Strong written and spoken English
    • Stable remote work environment

    Preferred:

    • Urology or resupply billing experience
    • CGM billing exposure

    Scheduled/Location:

    • Monday- Friday, 9am-5:30pm EST
    • 1975 E Sunrise Blvd #527, Fort Lauderdale, FL 33304

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