DME RCM Manager

Synapse Health | Who We Are At Synapse Health, we’re streamlining the durable medical equipment (DME) process. We manage intake, documentation, routing, claims, billing, and patient support. Our model reshapes how DME is delivered and experienced. Since 2016, with decades of industry and leadership experience, we’ve delivered tech-based solutions that help our partners to modernize operations, improve coordination, and reduce administrative burdens. By taking on operational and financial complexity, we’re redefining how DME works for providers, prescribers, and patients. We are proud to offer work that matters, on a mission that matters . Intrigued? Learn more at SynapseHealth.com and on Synapse Health’s LinkedIn Page . What We Need The DME RCM Manager , will report directly to the Director, Revenue Cycle Management . This team member oversees and is responsible for the company’s performance and results pertaining to Clearinghouse Rejections, Denials, AR , and Adjustments . In addition, this individual will engage in various projects, workflow and process improvement initiatives , technology enhancements, and partner with all business functions and teams across the organization. What You Will Do Lead the day-to-day operations of the Revenue Cycle Management department with a focus on the company’s performance and results pertaining to Clearinghouse Rejections, Denials, AR, and Adjustments. Manage the relationship and performance of assigned teams and third-party vendors responsible for working rejections, denials management, AR, and Adjustments. Monitor results, complete trending analysis, identify root causes, and proactively identify opportunities for improvement and communicate these with the appropriate leaders in RCM and across the organization. Develop, implement, and maintain operating policies and procedures ensuring consistency within other areas of Revenue Cycle. Works closely with finance and operations leaders to provide key operational insights into the RCM process and assist with cost controls and supplier payment integrity. Ensure all documentation supporting billing is obtained, is complete, and satisfies all payer requirements. In addition, ensure all qualification requirements are met and ensure compliance with third party payor requirements as well as all applicable state/federal laws and regulations. Perform additional job duties as assigned. What You Have At Synapse Health, we’ve intentionally built a culture rooted in kindness, collaboration, and creativity—qualities we consider essential for every team member. Additional requirements include: Bachelor’s degree, preferred. At least 5 years of DME experience in a leadership position required. DME expertise with Oxygen, PAP, Ventilators. At least 5 years of experience in revenue cycle management, including billing, payment posting, AR/denials management, and patient financial services. Expert understanding of DME products, qualification requirements, and government and commercial payer billing guidelines and requirements. Expert understanding of healthcare reimbursement/collections, medical billing, ICD10 coding, patient documentation, and state and federal regulations. Proficient in MS Office applications and ability to learn department and job-specific software systems (e.g., applicable practice management and EMR systems). Demonstrate organizational skills. Demonstrate effective verbal and written communication skills. Demonstrate analytical skills when problem-solving. Demonstrate high attention to detail and a high degree of accuracy. What Sets You Apart Accountability: Demonstrates an understanding of the link between one's own job responsibilities and overall organizational goals and needs. Analytical Thinking: Demonstrates the ability to deconstruct information into smaller categories in order to draw conclusions. Decision Making: Manages to make the right decision in complex situations. Management and Leadership: Demonstrates the ability to influence and guide members of an organization. Result Oriented: Demonstrates knowledge in setting and achieving challenging goals. Compensation The base salary range for this position is $83,200 – $104,000 annually. This range reflects the anticipated compensation at the time of posting. Final compensation will be based on factors such as relevant experience, demonstrated skills, internal equity, and prevailing market conditions. Compensation discussions are encouraged throughout the hiring process. What Sets Us Apart Work is a part of life, but at Synapse Health, we believe it should be meaningful and enjoyable. We’re committed to helping our team members thrive personally and professionally, which is why our benefits include: Professional growth opportunities with compelling career paths. Healthy work-life balance supported by generous paid time off (PTO). Comprehensive benefits package, including medical, dental, vision, STD & LTD insurance for full-time team members. 401(k) savings plan with employer matching contributions. Synapse Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. Synapse Health, Inc . will never request personal or sensitive information during the recruitment process. 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