[Hiring] AR RCM Specialist @ResMed

Role Description

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.

• 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.

Qualifications

• 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.

Requirements

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

Benefits

• At Brightree by ResMed, technology serves a greater purpose: helping healthcare providers operate more efficiently so they can focus on delivering exceptional patient care.
• Your work will directly impact customer success, financial outcomes, and the communities they serve.
• Join an organization committed to innovation, operational excellence, and continuous improvement.
• Opportunities to grow your expertise while making a meaningful contribution in the evolving healthcare technology industry.
• Creating a diverse and inclusive culture, encouraging individual expression in the workplace.