DME REVENUE CYCLE MANAGER (DURABLE MEDICAL EQUIPMENT)

Company: Med Supply US
Type: Full-time contractor, 40 hours per week
Schedule: Must overlap U.S. Eastern business hours (approximately 9:00 PM to 6:00 AM PH time)
Reports to: CEO

READ THIS PART FIRST

This is not a claims processing job. This is not a call center job. This is not a job where someone hands you a queue and you work it.

You will own whether Med Supply US gets paid.

We are a Medicare-accredited DMEPOS supplier specializing in continuous glucose monitor supplies. We brought billing in-house this year, and we run our own revenue cycle on Zoho CRM integrated with NikoHealth. We have a billing team that handles claim submission, follow-up, and payment posting. What we need is the person above that team: someone who reads the AR, finds out why money is stuck, fixes the root cause, and holds the team accountable to the process.

If you have spent your career answering phones on the payer side, working referrals, or doing general medical VA work, this role is not a fit, and your application will not move forward. We are looking for provider-side revenue cycle experience in durable medical equipment.

WHAT YOU WILL ACTUALLY DO:

Own the AR:

Pull and analyze AR aging by payer, by aging bucket, and by denial reason.
Identify concentrations: which payer, which plan, which product, and which CARC or RARC code is holding the most dollars.
Sample claims, find the common cause, and drive it to resolution rather than reworking claims one at a time.

Solve root causes, not symptoms:

Determine whether non-payment is a billing error, a documentation gap, a payer enrollment or credentialing gap, a clearinghouse or payer ID mapping issue, or a coordination of benefits problem.
Get secondary and tertiary payers correctly configured in NikoHealth and Zoho, including payer IDs and Change Healthcare payer codes.
Work with payer provider representatives, portals, and enrollment departments until the issue is closed.
Handle overpayments, recoupments, and refund requests correctly and on time.

Manage the team:

Direct supervision of billers, follow-up specialists, and payment posters.
Daily and weekly accountability: Are claims actually going out? Is follow-up actually happening? Are payments actually posting?
Build and maintain reporting so you know the answer before you ask anyone.
Coach, correct, and escalate performance issues without being asked to.

Protect compliance:

Ensure claims are billed cleanly against Medicare LCD requirements, with correct modifiers and complete supporting documentation.
Support audit and appeal work, including documentation pulls, cover pages, and organized submissions.
Understand that every claim we bill should be able to survive a records request.

Write it down:

Turn what you fix into a documented SOP so it stays fixed.
Improve existing workflows rather than absorbing broken ones.

REQUIRED:

Minimum 4 years in U.S. medical billing and revenue cycle on the provider or supplier side.
Minimum 2 years specifically in durable medical equipment (DMEPOS) billing.
Deep working knowledge of Medicare Part B DME billing: LCDs, HCPCS, modifiers (KX, GA, GY, GZ, RT, LT, and similar), documentation requirements, and Medicare Administrative Contractors.
Demonstrated denial management experience: reading EOBs and ERAs, interpreting CARC and RARC codes, determining root cause, and pursuing appeals, reopenings, and corrected claims.
Experience with payer enrollment and credentialing issues as a cause of non-payment.
Hands-on experience with a clearinghouse and payer portals.
Real supervisory experience with direct reports and accountability for their output.
Reliable high-speed internet, backup power or backup connection, and a private, HIPAA-appropriate workspace.
Willing and able to work U.S. Eastern hours consistently.

STRONGLY PREFERRED:

Diabetic supply or CGM billing experience (Dexcom, Libre, or similar).
Experience with NikoHealth, Brightree, TIMS, or comparable DME billing platforms.
Experience with Zoho CRM.
Experience responding to Medicare TPE, prepayment review, or RAC audits.
Experience with Medicare Advantage and commercial DME plans.

NOT A FIT IF:

Your experience is payer-side (working for an insurance company) rather than provider- or supplier-side.
Your experience is general medical VA, scheduling, or front office.
Your experience is physician or hospital billing with no DME exposure.
You are looking for a role where someone tells you what to do each day.

HOW WE HIRE:

Application screen. Your resume must show the DME experience. Do not rely on a cover letter to make the case.
Technical screen. You will be given real denial and AR scenarios from our business and asked how you would work them. Preparation will not help you here. Experience will.
Interview with the CEO. Focused on judgment, ownership, and how you manage people.
Reference checks. We will call your prior supervisors.

HOW TO APPLY:

Send your resume along with short written answers to these three questions. Applications without answers will not be reviewed.

Describe a specific situation where a payer was not paying you and the cause turned out to be something other than a billing error. What was it, and how did you find it?
What DME billing platforms and clearinghouses have you used, and what did you do in each?
How many people have reported directly to you, and how did you know each day whether they were doing their work?

Email: contact@medsupply.us
Subject line: DME Revenue Cycle Manager Application

COMPENSATION:

Competitive, based on demonstrated DME revenue cycle depth and supervisory experience. This is a senior role, and it is paid like one. Night differential included. We are looking for someone who will stay and grow with us, not a placeholder.

Med Supply US

DME Revenue Cycle Manager (Durable Medical Equipment)

About the Job