AR RCM Specialist - DME

Job description

Own revenue cycle outcomes that directly support better patient care. Join Brightree by ResMed as an RCM AR Payor Analyst and become a trusted partner to customers navigating the complex healthcare reimbursement landscape. 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. You'll work closely with clients, global operations teams, leadership, and cross-functional partners to uncover opportunities, solve challenges, and deliver measurable results. If you enjoy combining analytical thinking, customer partnership, and process improvement to drive meaningful business impact, this is an opportunity to make a difference while building your career in healthcare technology and revenue cycle management. What You'll Do Own the revenue cycle performance of assigned clients, serving as the primary operational contact and ensuring timely resolution of issues, risks, and escalations. Drive reimbursement outcomes through proactive accounts receivable management, denial resolution, appeals support, and revenue recovery activities. Analyze payor and client data to identify trends, root causes, risks, and opportunities that improve financial performance. 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. 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. Lead cross-functional collaboration to resolve operational challenges, remove barriers, and support client success. Prepare and present reporting, deep-dive analyses, and recommendations that enable informed business decisions and stronger customer outcomes. Monitor compliance with Medicare, Medicaid, Commercial payer requirements, HIPAA, and internal policies while escalating identified risks when needed. Maintain end-to-end ownership of action plans and customer outcomes, ensuring issues are resolved through completion. What You Bring High school diploma required; Associate's or Bachelor's degree preferred. 2+ years of DME/HME Revenue Cycle Management experience. Experience managing accounts receivable, denials, appeals, and reimbursement resolution activities. Strong knowledge of Medicare, Medicaid, and Commercial payer billing and reimbursement requirements. 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. 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. Proficiency with Microsoft Office applications, particularly Excel. Working knowledge of HIPAA and healthcare compliance requirements. Experience collaborating across departments to support operational and customer-focused initiatives. Experience creating and maintaining SOPs, process documentation, and operational guides. Strong professional integrity and commitment to ethical decision-making. Proven ability to achieve performance goals and deliver measurable revenue outcomes. Nice to Have Associate's or Bachelor's degree. Experience using Brightree. Experience supporting complex reimbursement optimization initiatives across multiple payors or client portfolios. What Sets You Apart Customer Advocate — You build trusted relationships and stay focused on helping customers achieve stronger financial and operational outcomes. Ownership Mentality — You take accountability for results, follow through on commitments, and drive issues to resolution. 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. Collaborative Partner — You bring people together across teams to solve problems and achieve shared goals. Resilient Problem Solver — You remain focused and resourceful when navigating complex reimbursement and operational challenges. 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. As part of our Revenue Cycle Management team, your work will directly impact customer success, financial outcomes, and the communities they serve. You'll join an organization committed to innovation, operational excellence, and continuous improvement, with opportunities to grow your expertise while making a meaningful contribution in the evolving healthcare technology industry. 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. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.