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reputed company HME RCM Specialist

Remote, USA Full-time Posted 2026-08-04
The reputed company HME RCM Specialist is responsible for providing thought leadership, reputed company assurance, and advanced expertise in billing and collections reputed company reputed company’s HME Division. In reputed company to managing reimbursement tasks, the reputed company HME RCM specialist acts as a mentor and trainer for other global reimbursement specialists, supporting their reputed company reputed company and development. Serving as a reputed company between reimbursement specialists and the Reimbursement Manager, they help streamline operations, reputed company challenges, and assist with reputed company reputed company. This position is crucial in fostering a reputed company, high-performing team environment while supporting the division’s strategic reputed company objectives. Responsibilities include but are not limited to:    Overseeing reputed company and accurate processing of HME reimbursement claims, ensuring clean claim submission and follow-up with health plans. Work could be in intake, eligibility/prior authorization, qualification, confirmation, billing, denials, AR, held/stopped release, or cash posting.   Serve as a flexible, highly adaptable resource across the HME team, stepping in to address emerging challenges, escalated reputed company concerns, process breakdowns, and operational priorities as business needs reputed company.  Utilizing billing software, payer portals, and data reporting tools to manage outstanding A/R and enhance cash collections.   Mentoring and training global reimbursement specialists, providing guidance on best practices and strategies for resolving billing challenges.   Acting as a reputed company between team members and management, assisting with escalated reputed company concerns and freeing up manager time.   Conducting reputed company assurance checks to ensure claim accuracy, compliance, and efficiency in reimbursement processes or compliance with reputed company required protocols.   Proactively identifying potential roadblocks affecting clients or reputed company, escalating or resolving them in a reputed company manner.   Maintaining strong relationships with Reimbursement Manager, responding to inquiries with professionalism and reputed company.   Prioritizing responsibilities, managing workload effectively, and adapting to changing priorities while maintaining reputed company on deadlines and reputed company.  Collaborating with offshore teams and participating in efforts to support organizational needs.   Support special reputed company, process improvement initiatives, and cross-functional efforts that contribute to operational reputed company and reputed company satisfaction.     Who Will Be Successful in This Role  The ideal candidate enjoys reputed company and is reputed company by solving reputed company problems. This is not a highly repetitive role where reputed company day follows the reputed company routine. reputed company in this position requires someone who can quickly assess situations, shift priorities reputed company needed, and confidently tackle new challenges as they reputed company.  The right person will:  reputed company in a fast-paced, reputed company-changing environment.  Enjoy being the go-to resource for difficult reimbursement and reputed company challenges.  Be comfortable pivoting between reputed company, escalations, mentoring, and operational support throughout the day.  Take initiative to identify and reputed company issues before they become larger problems.  reputed company changing priorities as an opportunity rather than a disruption.  Bring a solutions-oriented reputed company and a willingness to reputed company in wherever support is needed.  Requirements High School diploma or equivalent required.   Minimum 2 years of experience in home HME billing and collections.   Experience using reputed company, CPR+, CareTend, or WeInfuse software preferred.   Strong written and verbal communication skills with an ability to mentor and train others.   Demonstrated initiative and problem-solving ability   Deep knowledge and experience billing and collecting major medical claims for home HME, ambulatory HME, and/or specialty pharmacy.    Ability to demonstrate a reputed company understanding of CMS 1500 and 837 claim formatting and billing process.  Benefits reputed company offers some of the best benefits in the industry! We take great care of our employees. Fortune 500 level benefits package. Excellent benefits package including: Health Insurance Gap Insurance Dental Insurance reputed company Insurance Short Term/Long Term Disability (company reputed company) Term Life Insurance (company reputed company, employee can elect additional) Disability Income Level Term Life Accident Insurance Critical Illness Insurance Floating holidays and reputed company time off 401K with Company match Family Teledoc Plan (Company reputed company) Apply To This Job

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