Synapse Health ยท 14 hours ago
Sr. DME Billing Associate
Synapse Health is streamlining the durable medical equipment (DME) process and is seeking a Sr. DME Billing Associate to serve as a critical subject-matter expert. This role involves supporting operational excellence and regulatory compliance while ensuring accurate billing and optimized workflows across the organization.
Responsibilities
Serve as the DME and Revenue Cycle subject-matter expert for the organization, supporting cross-functional teams including RCM, Operations (Order Intake, Qualification, Fulfillment), Compliance, Product, IT, Finance, QA, and Training & Development
Provide expert guidance on DME product qualification, documentation, and billing requirements, ensuring accuracy from intake through reimbursement
Proactively identify trends, issues, and opportunities impacting revenue cycle performance; lead or support initiatives that improve cash flow, reduce rework, and enhance operational efficiency
Analyze denials, adjustments, and underpayments to identify root causes and develop corrective action plans, partnering with stakeholders to implement and sustain improvements
Develop, implement, and maintain policies, procedures, job aids, and training materials that support accurate billing, compliance, and consistent execution across teams
Support billing system configuration, updates, and enhancements to ensure alignment with payer rules, DME requirements, and operational workflows
Partner with and support oversight of third-party vendors responsible for revenue cycle systems, technology, and services, helping ensure performance, accuracy, and compliance
Maintain expert-level knowledge of payer coverage policies, insurance guidelines, and payer contracts to ensure accurate billing and timely payment across commercial, Medicare, and Medicaid payers
Ensure ongoing compliance with third-party payer requirements and all applicable federal and state laws and regulations governing DME billing and reimbursement
Act as a liaison between business users and system development or configuration teams, translating operational and billing requirements into effective system solutions
Contribute to audits, documentation reviews, and compliance initiatives related to DME billing and revenue integrity
Perform additional duties and special projects as assigned in support of revenue cycle optimization and organizational goals
Qualification
Required
Expert-level knowledge of DME products, documentation, and billing requirements, including but not limited to oxygen, PAP devices, ventilators, CGM supplies, wheelchairs, hospital beds, and related accessories
5+ years of experience working for a DME provider or DME billing organization
5+ years of experience in healthcare revenue cycle management, including billing, payment posting, accounts receivable, denials management, and patient financial services
Strong understanding of healthcare reimbursement and collections, medical billing processes, ICD-10 coding, patient documentation requirements, chart auditing, and applicable federal and state regulations
Proficiency in Microsoft Office and the ability to quickly learn job-specific software systems, including practice management and EMR platforms
Preferred
Bachelor's degree preferred
Benefits
Professional growth opportunities with compelling career paths
Healthy work-life balance supported by generous paid time off (PTO)
Comprehensive benefits package, including medical, dental, vision, STD & LTD insurance for full-time team members
401(k) savings plan with employer matching contributions
Company
Synapse Health
๏ปฟ๏ปฟSynapse Health is on a mission to ๐๐๐ฟ๐ฒ๐ฎ๐บ๐น๐ถ๐ป๐ฒ ๐๐ต๐ฒ ๐๐ ๐ ๐ฒ๐
๐ฝ๐ฒ๐ฟ๐ถ๐ฒ๐ป๐ฐ๐ฒ by removing barriers, improving accountability, and delivering solutions that work better for providers, suppliers, and most importantly, patients.