Overview
A medical device and digital health organization focused on cardiac care is seeking an Accounts Receivable Specialist to join their Revenue Cycle Management team. This fully remote role prefers candidates located in the Central Time Zone to facilitate collaboration and operational coverage. The company is transitioning from development to early commercialization of a wearable patch defibrillator designed for patients at temporary elevated risk of sudden cardiac arrest.
Responsibilities
Full-Cycle Insurance Billing & Accounts Receivable Management:
- Prepare and submit clean electronic and paper claims to Medicare, Medicaid, and private insurance payers.
- Monitor and aggressively follow up on unpaid claims.
- Investigate claim denials, collect necessary medical documentation, and draft appeals to secure reimbursement.
- Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments.
Patient Account Management & Advocacy:
- Oversee the monthly patient billing cycle and ensure statements are accurate and clear.
- Serve as the primary contact for inbound billing inquiries, insurance coverage questions, and payment processing.
- Review and process patient financial assistance applications in compliance with company policy.
Process Building & Strategic Insight:
- Assist in creating and documenting standard operating procedures (SOPs) for the billing department.
- Identify trends in denials or payer behavior and provide feedback to clinical and sales teams to improve documentation.
- Help optimize billing software workflows to increase efficiency and reduce days in accounts receivable.
Requirements
- 3–5+ years of experience in medical billing and revenue cycle management, specifically within Durable Medical Equipment (DME) or Home Medical Equipment (HME) industries.
- Knowledge of monthly rental billing, capped rentals, and equipment return workflows.
- Strong understanding of HCPCS codes, ICD-10 coding, Certificates of Medical Necessity (CMNs), and prior authorizations.
- Comfortable working in a fast-paced, ambiguous environment and contributing to process development.
- Excellent phone etiquette and ability to explain complex insurance concepts to patients with empathy and clarity.
- Proficiency with billing systems (experience with Niko Health or BrightTree is a plus), CRM platforms, and payer portals such as Availity.
Compensation & Benefits
- Competitive salary commensurate with experience and qualifications.
- Stock options.
- 90% employer-paid medical, dental, and vision insurance.
- Company-paid basic life insurance.
- 401(k) retirement plan with Traditional and Roth options.
- Paid time off and paid holidays.
- Flexible Spending Accounts (FSA) and Health Savings Account (HSA).
- Employee Assistance Program.
Location
- Fully remote position.
- Preference for candidates located in the Central Time Zone.
Additional Information
- This position requires eligibility to work in the United States; employment verification is mandatory.
- Visa sponsorship and relocation assistance are not available for this role.
- The employer is an Equal Opportunity Employer and evaluates candidates solely on job-related qualifications without discrimination based on race, color, religion, sex, gender identity, sexual orientation, parental status, national origin, age, disability, genetic information, political affiliation, military service, or other protected factors.