Employment Type: Permanent, Temp, or Temp-to-Hire

Job Category: Healthcare Revenue Cycle / Billing

Department: HME/DME Billing Operations

Reports To: Director of Revenue Cycle Management

Job Number: 3485253

Responsibilities:

The Senior Brightree Revenue Cycle Specialist will play a critical role in ensuring accurate billing, compliance, and operational efficiency within our HME/DME operations. This position requires immediate proficiency in Brightree EHR and advanced modules, with no ramp-up time.

Key responsibilities include:

Billing Lifecycle Management:

• Initial billing and claim submission
• Rebill and correction processes
• Rejection clearance and troubleshooting
• Appeals management for denied claims
• Secondary and tertiary billing across multiple payers

Brightree Expertise:

• Configure and manage workflows in Brightree
• Leverage DX-Text Campaign and DX-eForms modules for automated SMS consent and electronic signature capture
• Ensure compliance with CMS and Hawaii Medicaid (Quest) requirements for Proof of Delivery (POD)

Automation & Compliance:

• Implement HIPAA-compliant SMS opt-in protocols
• Maintain pre-configured eForms templates for POD documentation
• Drive efficiency with 90%+ automation—eliminating manual printing, scanning, and chasing signatures
• Collaborate with internal teams to ensure billing accuracy and compliance
• Provide guidance on best practices for Brightree workflows and reporting

Qualifications/Skills:

Non-Negotiable:

• Deep, demonstrated operational knowledge of Brightree in HME/DME billing
• Experience with DX-Text and DX-eForms modules
• Ability to manage claims end-to-end without ramp-up time
• Minimum 3–5 years in DME/HME billing and collections
• Strong understanding of CMS guidelines, HIPAA compliance, and Medicaid billing
• Ability to troubleshoot claim rejections and manage appeals quickly
• Excellent communication and problem-solving skills

Education Requirements:

• Preferred: Associate’s or Bachelor’s degree in Healthcare Administration, Business, Accounting, or a related field.
• Acceptable Alternative: Equivalent work experience (3–5+ years) in DME/HME billing and Brightree system operations.

Why Join Us?

• Flexible options: Permanent, Temp, or Temp-to-Hire
• Opportunity to make an immediate impact in a high-performance team
• Creative scheduling available for candidates balancing multiple roles (as long as performance standards are met)

Working Conditions:

• Remote or hybrid options available
• Standard office equipment (computer, phone, printer)
• Frequent use of the computer/keyboard is required