Brightree
AR RCM Specialist - DME
US Brightree (Remote Workforce) · Mid
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About the role
- In this role, you will take ownership of a portfolio of clients, payors, and states, helping improve financial performance through reimbursement optimization, denial prevention, accounts receivable management, and operational excellence.
- Why Join ResMed At Brightree by ResMed, technology serves a greater purpose: helping healthcare providers operate more efficiently so they can focus on delivering exceptional patient care.
Responsibilities
- Own the revenue cycle performance of assigned clients, serving as the primary operational contact and ensuring timely resolution of issues, risks, and escalations.
- Partner with global operations teams to monitor inventory, quality, productivity, and SLA adherence, ensuring consistent customer outcomes.
- Develop and maintain provider guides, SOPs, and client-specific process documentation that improve operational consistency and team effectiveness.
- Lead cross-functional collaboration to resolve operational challenges, remove barriers, and support client success.
- Maintain end-to-end ownership of action plans and customer outcomes, ensuring issues are resolved through completion.
- Proven ability to achieve performance goals and deliver measurable revenue outcomes.
- Own revenue cycle outcomes that directly support better patient care.
- You'll work closely with clients, global operations teams, leadership, and cross-functional partners to uncover opportunities, solve challenges, and deliver measurable results.
Requirements
- 2+ years of DME/HME Revenue Cycle Management experience.
- Experience conducting trend analysis, root cause investigations, and identifying revenue cycle improvement opportunities.
- Ability to present findings, recommendations, and performance insights to clients and leadership.
- Strong analytical and problem-solving skills with the ability to translate data into action.
- Proficiency with Microsoft Office applications, particularly Excel.
- Experience creating and maintaining SOPs, process documentation, and operational guides.
- High school diploma required
- Associate's or Bachelor's degree preferred.
- Experience managing accounts receivable, denials, appeals, and reimbursement resolution activities.
- Strong knowledge of Medicare, Medicaid, and Commercial payer billing and reimbursement requirements.
- Excellent written, verbal, and presentation communication skills.
- Strong organizational skills with attention to detail and the ability to manage multiple priorities effectively.
- Demonstrated ability to work independently and drive issues through resolution.
- Working knowledge of HIPAA and healthcare compliance requirements.
- Experience collaborating across departments to support operational and customer-focused initiatives.
Nice to have
- Associate's or Bachelor's degree.
- Experience using Brightree.
- What Sets You Apart
- Continuous Improvement Focus - You look beyond immediate fixes to identify opportunities for sustainable process improvement.
- Analytical Curiosity - You enjoy uncovering patterns, asking questions, and finding the story behind the data.
- Joining us is more than saying "yes" to making the world a healthier place.
- It's discovering a career that's challenging, supportive and inspiring.
- We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates.
Benefits
- Join Brightree by ResMed as an RCM AR Payor Analyst and become a trusted partner to customers navigating the complex healthcare reimbursement landscape.
- Drive reimbursement outcomes through proactive accounts receivable management, denial resolution, appeals support, and revenue recovery activities.
- Educate internal teams on reimbursement requirements, workflows, and best practices to reduce denials and improve revenue cycle performance.
- Recommend and implement process, workflow, payer setup, and pricing improvements that maximize reimbursement and increase efficiency.
Company info
- As part of our Revenue Cycle Management team, your work will directly impact customer success, financial outcomes, and the communities they serve.
This listing is sourced directly from Brightree's careers page and normalized into a canonical job model.