# DME Reimbursement Specialist

> Prochant US · United States (Remote) · Full-time · Posted 2026-05-19

**Workplace:** remote

**Department:** Reimbursement Operations- HME

## Description

The DME Reimbursement Specialist is responsible for multiple areas that are key to success for Prochant, a billing service and process outsourcing company in the U.S. healthcare industry. The DME Reimbursement Specialist responsibilities include:

-   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

In this role, you are responsible for consistent productions of intake, billing, collections, and cash posting. This includes:  

-   Billing Review & Claims Generation

-   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
-   Peer Coaching/Peer Support
-   Peer Quality Assurance (Audits)

-   A/R & Denial Management

-   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

-   Fax
-   Mail
-   Online

-   Denied claim tasking to appropriate parties for follow up

-   Authorization team (internal or external)
-   Documentation team (internal or external)

-   Peer Coaching/Peer Support
-   Peer Quality Assurance (Audits)

-   Documentation Review & Indexing

-   Review of inbound scanned documentation
-   Analysis of documents and assignment to appropriate document classes (for follow up)
-   Production log maintenance
-   Peer Coaching/Peer Support
-   Peer Quality Assurance (Audits)

-   Patient and order generation (intake)

-   Eligibility or benefit verification
-   Prior authorization submission

-   Cash Posting

## Requirements

-   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

PROCHANT OFFERS SOME OF THE BEST BENEFITS IN THE INDUSTRY! WE TAKE GREAT CARE OF OUR EMPLOYEES.

FORTUNE-500 LEVEL BENEFITS PACKAGE.

Excellent benefits package including

-   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

## Apply

[Apply at Prochant US](https://apply.workable.com/prochant-us/j/8E04874060/apply)

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