Director – DME Billing & Revenue Cycle
Company Description
Job Overview
Own DME revenue cycle performance from intake and authorization through billing, collections, appeals, and audits
Establish and manage core KPIs including Days in A/R, first-pass claim acceptance, denial and overturn rates, and net collections
Serve as the Brightree subject-matter expert, overseeing payer configuration, HCPCS/modifiers, UOMs, pricing, claim edits, and reporting
Ensure compliant billing across Medicaid (including manually priced items) and commercial payers, staying current on CMS and state regulations
Lead structured denial prevention, appeals, and revenue recovery strategies, identifying root causes and driving corrective actions upstream
Partner with Finance, Operations, Intake, and IT to forecast cash flow, mitigate revenue risk, and prevent downstream billing failures
Lead, develop, and scale a high-performing billing organization with clear accountability and productivity standards
Drive process improvement and automation, including Brightree optimization, workflow tools, RPA, and billing review
Additional Job Description Information
Required Qualifications
7+ years of DME billing and revenue cycle experience; 3+ years in leadership
Advanced Brightree expertise (billing, claims, payer setup, and reporting)
Deep knowledge of Medicaid DME billing, manually priced items, HCPCS coding, and multi-state payer rules
Strong analytical, operational, and cross-functional leadership skills
Success in This Role Looks Like
Reduced DME A/R days and denial volume
Improved first-pass claim acceptance and net collections
Scalable, documented Brightree billing workflows
Clear executive visibility into payer performance and revenue risk
Why This Role
This is a high-impact leadership position with direct influence on cash flow, compliance, and scalability, ideal for a revenue leader who thrives in complex DME environments and wants to modernize billing operations at scale.
Salary:100-130k with bonus potential
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