About the Role:
We are a Medicare-focused DME company specializing in Continuous Glucose Monitoring (CGM). As we bring our billing operations fully in-house, we are hiring a Payment Posting Specialist to ensure accurate, timely, and compliant posting of Medicare and payer payments.
This role is critical to maintaining clean AR, accurate cash reporting, and effective follow-up by the billing and appeals team.
This is not an entry-level posting role. Prior DME and Medicare payment posting experience is required.
Key Responsibilities:
Payment Posting & Reconciliation:
- Post Medicare Part B payments accurately using EOBs / ERAs
- Apply payments, adjustments, write-offs, and offsets correctly
- Identify and flag:
- Underpayments
- Overpayments
- Offsets applied to prior balances
- Reconcile payments against bank deposits and system totals
CGM-Specific Accuracy:
- Ensure correct posting for:
- CGM supplies (Dexcom G6 / G7)
- Monthly resupply claims
- Recurring shipments
- Recognize payer behavior specific to CGM billing
AR & Denial Support:
- Ensure posted data supports clean AR follow-up
- Identify posting errors that may cause false denials or aging
- Collaborate with AR and appeals teams to resolve discrepancies
Reporting & Quality Control:
- Maintain accurate payment logs
- Support billing leadership with cash flow and variance reports
- Assist with audits and internal reviews
Required Experience & Skills:
- Applicants without DME Medicare posting experience will not be considered.
- 2+ years DME payment posting experience
- Medicare Part B ERA / EOB posting
- Experience handling offsets and adjustments
- High attention to detail and accuracy
- Familiarity with DME billing systems
Strongly Preferred:
- Experience with Niko Health
- CGM billing exposure (Dexcom G6 / G7)
- Experience posting high-volume recurring claims
- Prior experience identifying Medicare payment discrepancies
What This Role Is Not
- Not AR or collections
- Not claim submission
- Not hospital posting
- Not Medicare Advantage-only
Key Performance Indicators (KPIs):
- Posting accuracy rate
- Timeliness of daily posting
- Identification of underpayments and offsets
- Clean AR handoff to follow-up team
Compensation:
- Competitive salary based on experience
- Full-time, stable role
- Long-term growth opportunity in billing operations
How to Apply:
Please include:
- Years of DME payment posting experience
- Payers worked (Medicare required)
- Billing systems used (Niko Health preferred)
- Average daily posting volume handled