Job Overview

Our client is seeking a highly organized and detail-oriented DME Contracting & Payer Enrollment Specialist to support their U.S.-based Durable Medical Equipment (DME) operations. This specialized role focuses entirely on the strategic execution of DME payer contracting, supplier credentialing, insurance network participation, and electronic billing setups.

This is not a general medical billing role; you will serve as the administrative anchor ensuring that DME provider entities are successfully credentialed, compliant, and legally authorized to bill Medicare, Medicaid, and private commercial insurance networks.

Schedule

• Monday – Friday, 8:00 AM – 5:00 PM US Eastern Standard Time (EST) (40 hours per week)

Responsibilities

Payer Enrollment & Network Contracting

• Application Lifecycle Management: Prepare, audit, submit, and meticulously track complex DME provider enrollment applications with Medicare, Medicaid, and private Commercial Managed Care Organizations (MCOs).
• Payer Pipeline Follow-Up: Maintain assertive, proactive communication pipelines with insurance network representatives to audit application progress, resolve pending data requests, and lock down effective network dates.
• Credentialing Maintenance: Oversee, track, and execute time-sensitive revalidations, recredentialing requests, and rolling contract renewal milestones for all active DME supplier locations.

Corporate Documentation & Electronic Setup

• Compliance Packaging: Coordinate and compile corporate verification packets, including corporate W-9s, professional liability insurance certificates, licensure validations, and operational business details.
• Clearinghouse & Billing Integration: Facilitate backend billing enrollment infrastructures by setting up Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) pathways via central clearinghouses and individual insurance portals.
• Data Hygiene: Keep internal database tracking systems, compliance sheets, and network matrix logs completely up to date with real-time enrollment statuses and official payer correspondence.

Required Qualifications

• DME Domain Expertise: 2+ years of direct, verifiable experience specializing in DME credentialing, DME payer enrollment, or DME-specific insurance network management.
• US Healthcare Fluency: Deep practical comprehension of the United States DME payer ecosystem, national carrier requirements, and supplier enrollment structures.
• Technical Workspace Agility: High proficiency navigating online insurance portals, centralized medical databases, Microsoft Excel matrix tracking, and SharePoint clouds.
• Communication Delivery: Superb written and verbal English communication skills, characterized by a highly professional, confident, and persuasive approach when handling insurance representatives.
• Pipeline Management: Exceptional organizational skills with a proven knack for managing multiple multi-step enrollment cycles simultaneously under tight deadlines.

Preferred Qualifications (Nice-to-Have)

• Direct, hands-on administrative familiarity with PECOS, NPPES, CAQH (for profile maintenance), and Availity.
• Advanced technical knowledge of clearinghouse routing, active EFT/ERA enrollment mechanics, and electronic data interchange (EDI) setup.
• Solid fundamental grasp of HCPCS coding and specialized DME billing terminology.
• Prior history successfully supporting US-based durable medical equipment operations from a fully remote framework.

Independent Contractor Perks

• Permanent work from home
• Immediate hiring timelines
• Health Insurance Coverage for eligible locations

Note

Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.