VQ OrthoCare
Job Posting
Medical Collector – DME (Senior)
Location: Vista, California (on-site)
Department: Revenue Cycle / Collections
Employment Type: Full-Time
VQ OrthoCare is seeking an experienced Senior Medical Collector to join our Vista, California office. In this role you will own the back-end collection of durable medical equipment (DME) claims across multiple payer types, resolving aged accounts, working denials and appeals, and driving down outstanding A/R. This is a senior position for a self-directed collector who knows DME billing rules cold and can serve as a go-to resource for the team.
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Manage and collect on outstanding DME claims across Medicare, Department of Defense (DOD)/TRICARE, commercial, and workers’ compensation payers.
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Research, resolve, and appeal denied, underpaid, and rejected claims, ensuring timely follow-up within filing limits.
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Review payer remittances and EOBs to identify root causes of denials and trends, and recommend process improvements.
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Initiate and track appeals, reconsiderations, and reopenings in line with each payer’s requirements and deadlines.
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Communicate professionally with payers, patients, referral sources, and internal teams to resolve account issues.
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Maintain detailed, compliant account notes and meet productivity and aging targets.
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Ensure all activity complies with HIPAA, payer regulations, and company policies.
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3+ years of medical collections experience with a strong focus on DME claims.
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Demonstrated DME collection experience across all four payer types: Medicare, DOD/TRICARE, commercial, and workers’ compensation.
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Working knowledge of DME billing requirements, HCPCS coding, modifiers, CMNs, and proof-of-delivery documentation.
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Experience working denials, appeals, and aged A/R with measurable results.
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Familiarity with payer portals, clearinghouses, and electronic claims/remittance workflows.
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Strong understanding of EOBs, remittance advice, allowables, and contractual adjustments.
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High attention to detail, strong organizational skills, and the ability to work independently and meet targets.
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Working knowledge of HIPAA and healthcare billing compliance.
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High school diploma or equivalent.
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Experience in an orthopedic, rehabilitation, or DME/HME setting.
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Prior experience as a senior or lead collector, or mentoring other collectors.
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Proficiency with billing systems and Microsoft Excel.
Qualified candidates are encouraged to apply with a current resume. Applications will be reviewed on a rolling basis.
VQ OrthoCare is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
