RCM Specialist - Quality (US Healthcare - DME/HME)

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 c...