Knack Bpo

DME Account Specialist

Knack RCM is seeking a highly experienced, full-time DME Account Manager (Hybrid) to join our team. The ideal candidate will have extensive experience in Durable Medical Equipment (DME) reimbursement and billing, as well as strong hands-on experience using Brightree.

Position Responsibilities

• Manage all areas of the Reimbursement Department.
• Continuously analyze departmental KPIs and identify opportunities for improvement.
• Develop and implement processes and strategies to improve departmental performance and efficiency.
• Manage and resolve DME billing issues, denials, audits, reconsiderations, collections, and accounts receivable.
• Create, run, and analyze Brightree Ad Hoc reports.
• Maintain daily communication with DME providers and payors.
• Research and resolve complex reimbursement and insurance-related issues.
• Monitor departmental performance and recommend solutions to improve outcomes.
• Work collaboratively with internal teams, providers, and payors to ensure efficient reimbursement processes.

Ideal Candidate Qualifications

The successful candidate will possess:

• Strong analytical and problem-solving skills with exceptional attention to detail.
• A comprehensive understanding of insurance plans, benefits, and reimbursement requirements for Medicare, Medicaid, and commercial insurance payors.
• The ability to make informed and complex decisions in a timely manner.
• Excellent organizational, prioritization, and time-management skills.
• Outstanding written and verbal communication skills.
• Strong knowledge of DME billing and reimbursement processes.
• Experience managing denials, audits, reconsiderations, collections, and accounts receivable.
• Advanced proficiency in Microsoft Excel.
• Extensive experience creating and running Brightree Ad Hoc reports.

Specific Requirements

• Minimum of 2 years of hands-on Brightree experience.
• Minimum of 2 years of experience in the DME industry.
• Demonstrated experience creating and running Brightree Ad Hoc reports.
• Proficiency in Microsoft Excel.
• Strong understanding of DME billing, reimbursement, and insurance processes.

This position is ideal for a highly organized and analytical DME reimbursement professional who can independently manage complex accounts, analyze performance data, and implement meaningful process improvements.