Sr. DME Billing Expert

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 matter s . Learn more at SynapseHealth.com and on Synapse Health’s LinkedIn . What We Need : The Sr. RCM Business Analyst is a senior-level leader responsible for overseeing and optimizing Synapse Health’s end-to-end Revenue Cycle Management (RCM) operations. This role provides strategic and operational leadership across both internal RCM teams and third-party vendor partners, with accountability for performance across Accounts Receivable follow-up, denial management, Medicare audits, credit balance resolution, and cash posting. This role blends deep revenue cycle expertise with analytical rigor, systems thinking, and cross-functional partnership. The Sr. RCM Business Analyst serves as a key liaison between operations, compliance, and technology—ensuring processes are compliant, scalable, data-driven, and aligned with Synapse Health’s growth objectives . What You Will Do : Lead and oversee day-to-day RCM operations across internal teams and external vendor partners, ensuring performance targets are met for AR follow-up, denial resolution, cash posting, Medicare audits, and credit balance resolution. Perform billing and coding oversight audits to ensure accuracy, compliance, and adherence to payer, contractual, and regulatory requirements. Partner closely with Compliance & Risk Management to develop, maintain , and enforce RCM-related policies, procedures, and training programs. Ensure accurate and timely entry and maintenance of critical revenue cycle data, including payer requirements, authorization rules, coverage limitations, requalification status, and documentation standards. Manage and complete all assigned requalifications within established timelines, including patient retesting, equipment retrieval when appropriate , ABN execution, and setup of patient autopay arrangements. Act as a key liaison between business users and system configuration or development teams , translating operational needs into system enhancements across RCM and enterprise software platforms. Maintain deep working knowledge of payer coverage types, insurance policies, payer guidelines, and contractual terms to drive accurate billing and timely reimbursement. Monitor and ensure compliance with third-party payer requirements as well as all applicable state and federal laws and regulations impacting revenue cycle operations. Analyze RCM performance data and trends to identify root causes, mitigate risk, improve cash flow, and recommend process improvements. Support audits, escalations, and complex revenue cycle issues by providing subject matter expertise and clear recommendations. Contribute to cross-functional initiatives and continuous improvement efforts that enhance operational efficiency, compliance, and financial performance. Perform additional duties and special projects as assigned to support evolving business needs. 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. 5+ years of progressive experience in healthcare revenue cycle management, including leadership or senior-level responsibility. Demonstrated experience across revenue cycle functions including billing, payment posting, accounts receivable follow-up, denial management, and patient financial services. Expert knowledge of healthcare reimbursement and collections, medical billing, ICD-10 coding , documentation standards, chart auditing, and state and federal regulations. DME revenue cycle experience strongly preferred . Proficiency in Microsoft Office applications, with the ability to quickly learn and adapt to practice management, EMR, and revenue cycle software systems. What Sets You Apart : Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment. Clear , confident, verbal and written communicator who can engage effectively with vendors, internal teams, and leadership. Highly analytical problem-solver who uses data to drive decisions and operational improvements. Exceptional attention to detail and commitment to accuracy and compliance. Comfortable operating at both a strategic and hands-on level , with a strong sense of ownership and accountability. Compensation: The base salary range for this position is $ 62,400 – $ 78,000 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. Please see our Careers p age for more information on how to protect yourself from scammers and to learn more about our recruitment process.