Senior HME RCM Specialist
The Senior HME RCM Specialist is responsible for providing thought leadership, quality assurance, and advanced expertise in billing and collections within Prochant’s HME Division. In addition to managing reimbursement tasks, the senior HME RCM specialist acts as a mentor and trainer for other global reimbursement specialists, supporting their professional growth and development. Serving as a liaison between reimbursement specialists and the Reimbursement Manager, they help streamline operations, resolve challenges, and assist with complex projects. This position is crucial in fostering a collaborative, high-performing team environment while supporting the division’s strategic growth objectives. Responsibilities include but are not limited to:
- Overseeing timely and accurate processing of HME reimbursement claims, ensuring clean claim submission and follow-up with health plans. Work could be in intake, eligibility/prior authorization, qualification, confirmation, billing, denials, AR, held/stopped release, or cash posting.
- Serve as a flexible, highly adaptable resource across the HME team, stepping in to address emerging challenges, escalated client concerns, process breakdowns, and operational priorities as business needs evolve.
- Utilizing billing software, payer portals, and data reporting tools
