ResMed Logo

ResMed

AR RCM Specialist - DME

Posted 6 Days Ago
Be an Early Applicant
In-Office or Remote
Hiring Remotely in San Diego, CA
Junior
In-Office or Remote
Hiring Remotely in San Diego, CA
Junior
Manages revenue cycle performance for DME/HME clients by overseeing accounts receivable, denials, appeals, reimbursement resolution, payer requirements, compliance, reporting, and process improvement. The role analyzes payer and client data, develops operational documentation, educates teams, resolves escalations, and partners with customers and cross-functional operations teams to improve financial outcomes and service performance.
The summary above was generated by AI

Own revenue cycle outcomes that directly support better patient care.


Join Brightree by ResMed as an RCM AR Payor Analyst and become a trusted partner to customers navigating the complex healthcare reimbursement landscape. In this role, you will take ownership of a portfolio of clients, payors, and states, helping improve financial performance through reimbursement optimization, denial prevention, accounts receivable management, and operational excellence. You'll work closely with clients, global operations teams, leadership, and cross-functional partners to uncover opportunities, solve challenges, and deliver measurable results. If you enjoy combining analytical thinking, customer partnership, and process improvement to drive meaningful business impact, this is an opportunity to make a difference while building your career in healthcare technology and revenue cycle management.


What You'll Do
  • Own the revenue cycle performance of assigned clients, serving as the primary operational contact and ensuring timely resolution of issues, risks, and escalations.
  • Drive reimbursement outcomes through proactive accounts receivable management, denial resolution, appeals support, and revenue recovery activities.
  • Analyze payor and client data to identify trends, root causes, risks, and opportunities that improve financial performance.
  • Partner with global operations teams to monitor inventory, quality, productivity, and SLA adherence, ensuring consistent customer outcomes.
  • Develop and maintain provider guides, SOPs, and client-specific process documentation that improve operational consistency and team effectiveness.
  • Educate internal teams on reimbursement requirements, workflows, and best practices to reduce denials and improve revenue cycle performance.
  • Recommend and implement process, workflow, payer setup, and pricing improvements that maximize reimbursement and increase efficiency.
  • Lead cross-functional collaboration to resolve operational challenges, remove barriers, and support client success.
  • Prepare and present reporting, deep-dive analyses, and recommendations that enable informed business decisions and stronger customer outcomes.
  • Monitor compliance with Medicare, Medicaid, Commercial payer requirements, HIPAA, and internal policies while escalating identified risks when needed.
  • Maintain end-to-end ownership of action plans and customer outcomes, ensuring issues are resolved through completion.

What You Bring
  • High school diploma required; Associate's or Bachelor's degree preferred.
  • 2+ years of DME/HME Revenue Cycle Management experience.
  • Experience managing accounts receivable, denials, appeals, and reimbursement resolution activities.
  • Strong knowledge of Medicare, Medicaid, and Commercial payer billing and reimbursement requirements.
  • Experience conducting trend analysis, root cause investigations, and identifying revenue cycle improvement opportunities.
  • Ability to present findings, recommendations, and performance insights to clients and leadership.
  • Strong analytical and problem-solving skills with the ability to translate data into action.
  • Excellent written, verbal, and presentation communication skills.
  • Strong organizational skills with attention to detail and the ability to manage multiple priorities effectively.
  • Demonstrated ability to work independently and drive issues through resolution.
  • Proficiency with Microsoft Office applications, particularly Excel.
  • Working knowledge of HIPAA and healthcare compliance requirements.
  • Experience collaborating across departments to support operational and customer-focused initiatives.
  • Experience creating and maintaining SOPs, process documentation, and operational guides.
  • Strong professional integrity and commitment to ethical decision-making.
  • Proven ability to achieve performance goals and deliver measurable revenue outcomes.

Nice to Have

  • Associate's or Bachelor's degree.
  • Experience using Brightree.
  • Experience supporting complex reimbursement optimization initiatives across multiple payors or client portfolios.

What Sets You Apart
  • Customer Advocate — You build trusted relationships and stay focused on helping customers achieve stronger financial and operational outcomes.
  • Ownership Mentality — You take accountability for results, follow through on commitments, and drive issues to resolution.
  • Continuous Improvement Focus — You look beyond immediate fixes to identify opportunities for sustainable process improvement.
  • Analytical Curiosity — You enjoy uncovering patterns, asking questions, and finding the story behind the data.
  • Collaborative Partner — You bring people together across teams to solve problems and achieve shared goals.
  • Resilient Problem Solver — You remain focused and resourceful when navigating complex reimbursement and operational challenges.


Why Join ResMed

At Brightree by ResMed, technology serves a greater purpose: helping healthcare providers operate more efficiently so they can focus on delivering exceptional patient care. As part of our Revenue Cycle Management team, your work will directly impact customer success, financial outcomes, and the communities they serve. You'll join an organization committed to innovation, operational excellence, and continuous improvement, with opportunities to grow your expertise while making a meaningful contribution in the evolving healthcare technology industry.

Benefits and Compensation

At Resmed, we're shaping the future by investing in our people through competitive pay, flexible work arrangements, and programs that support personal and professional growth.


Benefits (employees regularly scheduled to work 30+ hours per week) include:

Medical, dental, vision, life, AD&D, and disability insurance

HSA, FSA, commuter benefits, and sleep care management

401(k), ESPP, EAP, and tuition assistance

15 days PTO in the first year for hourly employees / FTO for salaried employees

11 paid holidays plus 3 floating holidays

Up to 14 weeks primary caregiver leave or 2 weeks secondary caregiver leave

Compensation: Compensation is based on factors including geographic location, qualifications, experience, skills, and internal equity.


Pay Range: $15.76 -19.89 USD


Resmed generally does not hire at or near the top of the pay range. For remote positions outside the U.S., compensation is determined based on geographic location, qualifications, experience, and skills.


Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.

 

Similar Jobs

3 Hours Ago
Remote or Hybrid
USA
15-20 Hourly
Senior level
15-20 Hourly
Senior level
eCommerce • Fashion • Retail • Sales • Wearables • Design
Lead sales floor performance and mentor peers while delivering exceptional brand storytelling and customer service. Drive personal and store sales, champion omnichannel and social/virtual selling, support live-stream and social content, perform opening/closing procedures, and contribute to an inclusive team culture. Assist with events, capture client feedback, and maintain product knowledge across categories.
Top Skills: Live-Stream ShoppingOmnichannelSocial MediaSocial SellingVirtual Selling
12 Hours Ago
Remote
United States
130K-180K Annually
Senior level
130K-180K Annually
Senior level
Artificial Intelligence • Fintech • Information Technology • Marketing Tech • Payments • Social Impact • Software
Leads and builds Donorbox’s product marketing function, owning positioning, messaging, product-led growth, launches, enablement, competitive intelligence, and performance measurement. Partners with Product, Sales, Customer Success, and Marketing to drive acquisition, conversion, retention, and expansion. Manages one direct report, establishes scalable processes and KPIs, influences roadmap priorities, and presents data-driven insights to executive leadership.
Top Skills: Product-Led Growth (Plg)SaaS
Yesterday
Easy Apply
Remote
United States
Easy Apply
124K-175K Annually
Senior level
124K-175K Annually
Senior level
AdTech • Artificial Intelligence • Big Data • Machine Learning • Marketing Tech • Mobile • Software
Manage U.S. and international corporate tax compliance, transfer pricing calculations, tax provision schedules, audits, and financial reporting alignment. Coordinate with external advisors and cross-functional Finance, Legal, and Accounting teams. Support tax projects, process improvements, system implementations, documentation, internal controls, and reporting accuracy while managing deadlines and tax department workflows.
Top Skills: Erp SystemsExcelFinancial ModelingTax Provision Software

What you need to know about the San Francisco Tech Scene

San Francisco and the surrounding Bay Area attracts more startup funding than any other region in the world. Home to Stanford University and UC Berkeley, leading VC firms and several of the world’s most valuable companies, the Bay Area is the place to go for anyone looking to make it big in the tech industry. That said, San Francisco has a lot to offer beyond technology thanks to a thriving art and music scene, excellent food and a short drive to several of the country’s most beautiful recreational areas.

Key Facts About San Francisco Tech

  • Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Google, Apple, Salesforce, Meta
  • Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
  • Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
  • Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account