Medical Billing & Follow-Up Specialist – DME

Posted yesterday

phothera phototherapyBrooklyn (NY)

Billing and Posting Clerks Collection Agencies

SENIORITY

Senior

SALARY

$28.00 - $32.00 per hour

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About the role

Work Arrangement: Office or remote

Reports to: Revenue Cycle Manager

Role Type: Individual Contributor

Compensation: $28.00 - $32.00 per hourFLSA Classification: Non-ExemptLucas James Talent Partners is partnering with Phothera, a Madison Industries company, to identify a driven and proactive Medical Billing & Follow-Up Specialist to join their growing Revenue Cycle team. Phothera provides innovative in-home phototherapy solutions that help patients safely manage autoimmune skin conditions such as Psoriasis, Atopic Dermatitis, and Vitiligo. As the organization scales rapidly, they are investing in strengthening their revenue cycle infrastructure, including implementing a new RCM platform and building focused work queues to support a high-performing billing team. This is an opportunity to join during a pivotal growth phase and play a meaningful role in improving processes, accelerating cash flow, and driving operational excellence.

The Opportunity: This position is focused heavily on accounts receivable follow-up and resolving unpaid or delayed DME claims. With the transition to a new revenue cycle system, denial frequency is expected to decrease, allowing this role to take a more strategic approach to AR optimization and trend identification. You will not simply be entering claims. You will own follow-up, identify root causes, and help the team work smarter.

What You’ll Do:

Track and resolve unpaid, underpaid, or delayed DME claims
Submit and follow up on Medicare, Medicaid, Commercial, and VA claims
Interpret EOBs and ERAs and apply payments accurately
Research payer policies, LCDs and NCDs, and coverage requirements
Validate documentation including CMNs, prescriptions, proof of delivery, and prior authorizations
Submit appeals when necessary and monitor outcomes
Identify systemic issues and recommend process improvements
Maintain detailed, compliant documentation within the billing system

What Success Looks Like: Phothera is seeking someone who brings initiative and ownership. This is not a passive billing role.

The ideal candidate:

Takes action without waiting to be directed
Identifies patterns and inefficiencies
Learns new systems quickly
Brings urgency to AR follow-up
Thinks beyond task completion and looks for ways to improve workflows

Qualifications:

2+ years of experience in medical billing, accounts receivable, reimbursement, or revenue cycle management
Hands-on experience with professional/physician billing and CMS-1500 claims
Experience investigating and resolving unpaid, underpaid, rejected, and denied claims
Strong understanding of payer follow-up, EOBs/ERAs, claim corrections, and resubmissions
Experience working with Medicare, Medicaid, and commercial insurance payers
Working knowledge of CPT, HCPCS, modifiers, and medical necessity requirements
Ability to research claim issues, identify root causes, and independently determine appropriate next steps
Strong organizational skills with the ability to manage a high-volume claim inventory and follow issues through resolution
Comfortable working independently in a remote environment and adapting to evolving processes and priorities

Preferred Qualifications: Experience with DME/DMEPOS billing and reimbursement Experience interpreting payer coverage policies, LCDs/NCDs, or other medical necessity requirements Experience preparing corrected claims, reconsiderations, and/or appeals Familiarity with denial codes, CARCs/RARCs, clearinghouse edits, and payer portals Experience in medical device, specialty therapy, home medical equipment, or another reimbursement-intensive healthcare environment Experience identifying denial trends or recurring reimbursement issues and contributing to process improvements Demonstrated ability to work effectively in a growing environment where processes and SOPs continue to evolve Compensation & Growth

Compensation: $28–$32 per hour
Monthly Bonus Opportunity: Employees may be eligible for a monthly bonus based on company performance. Bonus availability and amounts are not guaranteed and are subject to change.
Strong growth trajectory – Phothera is projected to nearly double in size
Opportunity for expanded responsibility and future leadership pathing

About Phothera Phothera is a rapidly growing healthcare organization focused on expanding access to safe, effective phototherapy treatments. As part of Madison Industries, Phothera combines the stability of a global organization with the agility of a scaling healthcare innovator. The company is investing in people, systems, and infrastructure to support continued expansion and operational excellence.

Why Join: NowPhothera is transitioning to a new revenue cycle platform and refining workflows to improve efficiency and performance. This is a unique opportunity to help shape how the billing function operates moving forward while contributing to a mission-driven organization that directly impacts patient care. If you are energized by improving processes, strengthening revenue cycle performance, and contributing to a growing healthcare organization, we would love to connect. Phothera is an Equal Opportunity Employer and values diversity in the workplace. All qualified applicants will receive consideration for employment without regard to any protected status.

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