DME Reimbursement Specialist

Prochant

DME Reimbursement Specialist handling billing review, claim generation, and denial management for Prochant. Ensuring accurate processing of DME/HME claims and supporting documentation with a focus on quality assurance.

Posted 6/24/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

Billing Review
Claim Generation
A/R & Denial Management
Unaddressed Claim Management
Stop/Held Revenue review
Correspondence review and Indexing
Reporting and reconciliation of all executable work tasks
Escalations/tasking of work exceptions to appropriate parties
Management of follow-ups
Peer support/Peer coaching
Quality Assurance
Eligibility
Prior Authorization
Intake
Cash posting
Manage inbound queue of orders to be reviewed/claims to be generated
Quality review prior to claim generation
Claim generation within specified turnaround time
Maintenance of downloads and production logs
Exception Tasking
Follow Ups
Denied claim review and analysis
Denied claim resolution action including, but not limited to:
Telephone claim status requests
Telephone re-opening requests
Medical documentation/Supporting documentation reviews
Redeterminations and appeals
Review of inbound scanned documentation
Analysis of documents and assignment to appropriate document classes (for follow up)
Eligibility or benefit verification
Prior authorization submission

Requirements

What you’ll need

High School diploma or GED
2+ years DME / HME billing & collections experience
Experience managing intake, billing, collections, and cash posting
Knowledge of the HDMS billing system
Willingness to undergo additional identity verification through ID.me
Knowledge of one or more of the following additional DME / HME billing systems: Brightree, TIMS, Bonafide, or CPR+ preferred
California Insurance experience preferred

Benefits

Comp & perks

Health Insurance
Gap Insurance
Dental Insurance
Vision Insurance
Short Term / Long Term Disability (company paid)
Term Life Insurance (company paid, employee can elect additional)
Full suite of CHUBB supplemental insurance plans including:
Disability Income
Level Term Life
Accident Insurance
Critical Illness Insurance
Pre-Paid Legal
FSA / HSA with eligible plans
401K with company match
Floating holidays and paid time off

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

billing reviewclaim generationA/R managementdenial managementcash postingquality assuranceeligibility verificationprior authorizationexception taskingdocument analysis

Soft Skills

peer supportpeer coachingmanagement of follow-upsescalation managementcommunication

Certifications

High School diplomaGED