AR RCM Specialist - DME

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.

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.

Associate's or Bachelor's degree. Experience using Brightree. Experience supporting complex reimbursement optimization initiatives across multiple