Senior HME RCM Specialist

Prochant

Senior HME RCM Specialist overseeing HME medical billing, claims, and collections for Prochant. Mentoring global reimbursement specialists and improving reimbursement operations.

Posted 8/22/2026full-timeRemote • 🇺🇸 United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in HME billing and collections, ensuring accurate claim processing and compliance with CMS 1500 and 837 formats. Capable of mentoring teams and enhancing cash collections through effective use of billing software and data reporting tools.

Highest-signal resume keywords

HME Billing And CollectionsCMS 1500 And 837 Claim FormattingBrightree SoftwareProblem-Solving AbilityMentoring And Training

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Billing And CollectionsClaim ProcessingAccounts Receivable ManagementQuality Assurance ChecksData Reporting

Soft Skills

Strong Written CommunicationStrong Verbal CommunicationInitiativeAdaptabilityCollaboration

Tools & Technologies

BrightreeCPR+CareTendWeInfusePayer Portals

Industry Keywords

HME DivisionMedical ClaimsCash CollectionsClient RelationsProcess Improvement

About the role

Key responsibilities & impact

Provide thought leadership, quality assurance, and advanced expertise in billing and collections within Prochant’s HME Division
Oversee timely and accurate processing of HME reimbursement claims, including intake, eligibility/prior authorization, qualification, confirmation, billing, denials, accounts receivable, held/stopped release, and cash posting
Follow up with health plans to ensure clean claim submission
Serve as a flexible resource for emerging challenges, escalated client concerns, process breakdowns, and operational priorities
Utilize billing software, payer portals, and data reporting tools to manage outstanding accounts receivable and enhance cash collections
Mentor and train global reimbursement specialists on best practices and billing challenge resolution
Act as liaison between reimbursement specialists and management
Conduct quality assurance checks for claim accuracy, compliance, efficiency, and client-required protocols
Identify and resolve or escalate roadblocks affecting clients or Prochant
Maintain relationships with the Reimbursement Manager and respond to inquiries professionally and clearly
Prioritize workload, adapt to changing priorities, and maintain focus on deadlines and outcomes
Collaborate with offshore teams
Support special projects, process improvement initiatives, and cross-functional efforts

Requirements

What you’ll need

High School diploma or equivalent required
Minimum 2 years of experience in home HME billing and collections
Experience using Brightree, 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 clear understanding of CMS 1500 and 837 claim formatting and billing process

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)
Disability Income
Level Term Life
Accident Insurance
Critical Illness Insurance
Floating holidays and paid time off
401K with Company match
Family Teledoc Plan (Company Paid)
Fortune 500 level benefits package