Tennr · 2 months ago
Medical Quality Assurance Specialist, RCM/DME
New York City Office
Full-time
Hybrid
Entry Level
$80K/yr - $105K/yr
1+ years expTennr is a company focused on improving the referral process in healthcare by ensuring timely and accurate information flow. They are seeking a Medical Quality Assurance Specialist to oversee compliance in Revenue Cycle Management and Durable Medical Equipment processes, ensuring that orders and documentation meet necessary standards.
Artificial Intelligence (AI)Health CareMedicalSoftware
Responsibilities
Review and validate DME and HME orders for completeness, accuracy, correct product ordering, eligibility and documentation of medical necessity
Verify insurance coverage and benefits verification workflows; handle intake through billing with attention to payer policy and documentation standards
Interpret customer or payer-provided documentation, internal SOPs and criteria; translate into structured internal guidance, checklists or reference documents
Collaborate with sales, operations, billing, and implementation teams to ensure alignment between order intake, documentation, and claim submission
Participate in quality assurance audits, identify process gaps or risks, and recommend improvements to streamline workflows and reduce errors/denials
Maintain and update internal policy/reference documents (“source of truth”) for DME/HME coverage, payer rules, HCPCS/ICD-10 mapping, etc
Qualification
Required
1-3 years of experience in RCM, DME/HME billing or audit, or order intake/eligibility verification in a healthcare operations setting
Solid working knowledge of HCPCS and ICD-10 coding, payer coverage rules (Medicare/Medicaid/private) and documentation requirements for medical necessity
Experience or comfort with eligibility/benefits verification workflows, insurance coverage checks and prior authorization logic
Strong attention to detail, good analytical/QA mindset, ability to spot inconsistencies and ensure documentation completeness
Good communication skills, able to work with operational/clinical teams and translate requirements into internal guidance
Preferred
Experience with DME/HME order intake in product categories like CPAP, urology, enteral or other durable/home medical equipment
Experience with a billing/RCM system (e.g., Brightree or similar) or working in a healthcare SaaS/tech environment
Familiarity with user acceptance testing (UAT), validation of implementation logic, or working in cross-functional teams (operations + product)
Benefits
New, spacious Chelsea office
Unlimited PTO
100% paid employee health benefit options
Employer-funded 401(k) match
Competitive parental leave
Company
Tennr
Tennr is a healthcare AI startup that provides an automation platform for medical documents.
201-500 employees
H1B Sponsorship
Tennr has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (7)
2024 (2)
Funding
Current Stage
Growth StageTotal Funding
$161MKey Investors
IVPLightspeed Venture PartnersAndreessen Horowitz
2025-06-18Series C· $101M
2024-10-22Series B· $37M
2024-03-26Series A· $18M
Leadership Team
Trey Holterman
CEO
Tyler Johnson
CTO
Recent News
Foundation Capital
2025-12-31
Crunchbase News
2025-12-26
Company data provided by crunchbase