DME Reimbursement Specialist
Prochant US· Reimbursement Operations- HME
About this role
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
- 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
- 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
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
Frequently Asked Questions
Is the salary disclosed for the DME Reimbursement Specialist position at Prochant US?
The salary for this DME Reimbursement Specialist role at Prochant US is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Is the DME Reimbursement Specialist job at Prochant US remote?
Yes, this DME Reimbursement Specialist position at Prochant US is remote, with team members based in TELECOMMUTE, United States. You can work from home or anywhere in the supported regions.
Is the DME Reimbursement Specialist role at Prochant US full-time or part-time?
This is listed as a Full time position. It is posted as a DME Reimbursement Specialist role in the Reimbursement Operations- HME department at Prochant US.
Which team or department does the DME Reimbursement Specialist at Prochant US belong to?
This DME Reimbursement Specialist position is part of the Reimbursement Operations- HME department at Prochant US. See the full job description for more information about the team structure and responsibilities.
How do I apply for the DME Reimbursement Specialist position at Prochant US?
Click the "Apply Now" button on this page. You will be redirected to Prochant US's official application portal hosted on workable where you can submit your application directly.
When was the DME Reimbursement Specialist job at Prochant US posted?
This DME Reimbursement Specialist position at Prochant US was posted on May 19, 2026. Apply as soon as possible — early applications are often reviewed first.
DME Reimbursement Specialist
Prochant US
You'll be redirected to Prochant US's official application page on workable.