June 26, 2026
Accounts Receivable & Financing Specialist
Mid • On-site
62,004 - 80,004 USD/yr
Mill Creek, WA
About Us
Vertex Service Partners is a home improvement services company focused on residential roofing and other exterior services across the United States. Backed by Alpine Investors, a private equity fund with $4.0 billion of committed capital, Vertex is building a national platform while preserving the autonomy of local brands. The company operates with a focus on operations, marketing, training, talent, finance, and technology support.
Job Summary
The Accounts Receivable (AR) and Financing Specialist owns the full revenue collection cycle — from daily invoicing through final payment — and serves as the primary point of contact for all financing activity across the West Region. This person keeps the AR aging report clean, ensures financing partners fund jobs on time, and resolves any payment or financing issue that could delay installation or hold up collection. The specialist works closely with Operations, Production, Sales, and Accounting teams to keep every job moving toward a clean financial close.
Location
This role may be located at one of the West Regional offices:
- Mill Creek, WA 98012
- Clackamas, OR 97015
Fully onsite (Monday - Friday, standard business hours).
Key Responsibilities
- Own the financial closeout process, ensuring timely invoicing, payment collection, and account reconciliation.
- Drive collection efforts and manage AR aging performance, reducing days sales outstanding (DSO).
- Lead collections escalations for past-due accounts, including lien coordination.
- Manage progress billing and payment schedules.
- Serve as primary liaison for financing partners and funding platforms.
- Guide homeowners through financing processes and remove payment obstacles.
- Process and reconcile payments within ServiceTitan.
- Prepare project closeout packages and complete financial documentation.
- Partner cross-functionally to support successful project completion.
- Support reporting, bad debt analysis, audits, and continuous improvement initiatives.
- Maintain compliance with company policies and financial controls.
Qualifications
- 2+ years of experience in accounts receivable, billing, project administration, or related role.
- Strong understanding of project billing, purchase orders, change orders, and invoicing processes.
- Ability to communicate with homeowners, lenders, and leadership.
- Strong organizational skills and attention to detail.
- Ability to manage multiple projects and deadlines.
- Excellent communication and problem-solving skills.
Preferred Skills
- Construction or contractor industry experience.
- Proficiency with ServiceTitan, Sage, and accounting platforms.
- Proficiency with MS Excel.
- Knowledge of billing, retainage, and contract closeout requirements.
- Experience with customer invoicing portals and compliance documentation.
- Analytical mindset with ability to identify cost discrepancies and process improvements.
Work Environment
- Onsite daily office work environment.
- Frequent coordination with operations, accounting, procurement, and field teams.
- Occasional extended hours during month-end or project completion cycles.
Compensation
Competitive hourly pay plus performance-based incentives. On-target earnings range from $62,000 to $80,000 annually.
Benefits
- Health, Dental, and Vision Insurance
- 401(k) with company match
- Company-sponsored Life and AD&D coverage
- Paid Time Off
- Opportunities for growth and on-the-job training
Equal opportunity employer statement and applicant privacy policy apply.
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Our team specializes in residential and commercial roofing—handling everything from composition and tile to flat single-ply systems—with a relentless focus on clean workmanship and customer satisfaction. As an A+ BBB-accredited contractor offering transferable workmanship warranties, we pride ourselves on reliability and trusted service from our crews. We offer a team-oriented environment with opportunities for career growth, and as we continue to expand, we seek reliable, safety-focused team members to support our operations. Join us and become part of a skilled team committed to craftsmanship, integrity, and career development. This is a performance-driven, in-home sales role built for professionals who want uncapped earning potential within a structured, supported system. Unlike roles where you build everything from scratch, you step into an established platform designed to help you win. What You Can Expect - W-2 employee status (not 1099) - Uncapped commission structure - Estimated first-year earnings: 125K-250K - Pre-set, pre-qualified appointments provided - Additional incentives for self-generated leads - Company vehicle - Benefits + 401(k) match - Paid onboarding and training What Sets This Apart - Brand credibility and company-backed marketing - A proven, structured sales process - Financing options already in place - Operational and production support teams - CRM system (ServiceTitan) Your focus is selling and serving homeowners – you are not chasing cold leads or building infrastructure. Success here is consultative, not pressure based. Top performers clearly explain value, confidently lead pricing conversations, and execute the sales process with discipline. Key Responsibilities: - Conduct multiple in-home inspections and consultations daily - Diagnose homeowner needs and recommend appropriate roofing or exterior solutions - Present scope, pricing, and financing options with clarity and confidence - Guide homeowners through a structured consultation process from inspection to agreement - Complete contracts and documentation accurately in ServiceTitan - Maintain professional presentation, organized vehicle, and sales materials - Generate additional opportunities through referrals and self-sourced leads - Travel locally to customer homes (field-based role) What Success Looks Like: Top performers in this role: - Execute the full sales process consistently and without shortcuts - Maintain strong activity levels and pipeline discipline over time - Use coaching and feedback to continuously sharpen their craft - Hold value - they don't rely on discounting to win Who This Role Is a Great Fit For: - Professionals who have succeeded in commission-based, performance-driven environments - Clear communicators who can simplify complex information for homeowners - Individuals comfortable discussing pricing and financing decisions directly - Self-motivated sellers who take ownership of results and accountability This Role May NOT Be a Fit If You: - Rely on pressure tactics or discounting to close - Resist structured sales processes or coaching - Avoid direct conversations about money or pricing - Prefer low-accountability or desk-based environments Qualifications: Required: - Valid driver's license with a clean driving record & background check - Comfortable working on roofs, climbing ladders, and accessing attics - Strong interpersonal and communication skills to establish rapport and build trust - Self-motivated, goal-oriented, and able to work independently or as part of a team - Ability to present complex information in an easy-to-understand manner - Ability to use CRM software, Microsoft Office, and iOS tools - Must be comfortable working in various weather conditions - Ability to lift up to 75 lbs Preferred, not required: - In-home sales or home improvement sales experience (roofing experience not required) Training & Support: - Comprehensive paid training program; 2-week classroom training with additional field training - Paid training class session (expenses covered) - Must be comfortable with 2 weeks paid training in another city - Ongoing coaching and skill development Schedule & Work Environment: - Flexible weekly schedule with evening and weekend appointments as needed - Regularly engaged in outside sales, requiring travel to customer locations Compensation: - W-2 employee status (not 1099) with benefits and 401k match - Paid onboarding and training - Estimate of First-year earnings: 125K-250K - Pre-set and pre-qualified leads provided, with additional incentives for self-generated leads - Performance-based bonus opportunities Compensation & Benefits Disclosure Compensation for this role may be provided as hourly pay, salary, commission, piece-rate, bonuses, incentives, or a combination of these methods, depending on the position. The "Estimate of Total Expected Annual Earnings" listed reflects our good-faith estimate of what we reasonably expect to pay for this role, based on factors such as experience, skills, candidate geographic location, state the job is located in, historical trends, and business needs. Actual earnings may vary. Where required by law, we also provide a general description of benefits and other forms of compensation offered, which may include health insurance, retirement plans, paid time off, and other employee programs. Benefits: - Health, Dental, and Vision Insurance - 401(k) with company match - Company sponsored Life and AD&D coverage - Paid Time Off - Opportunities for growth and on-the-job training Why Join Us? At River Roofing, we take pride in our people, our work, and our commitment to integrity. If you're looking for a company where you can grow professionally while making a real impact, we'd love to hear from you! River Roofing is an equal opportunity employer and does not discriminate based on race, color, religion, sex, national origin, political affiliation, sexual orientation, marital status, disability, age, military service, or any other protected class.
Technology

River Roofing
In-home Sales Consultant
Mid
On-site
Springfield, OR
125,004 - 249,996 USD/yr
🏢 Summary: Performance-driven in-home roofing sales role with uncapped commission, pre-qualified leads, company vehicle, and comprehensive training. The position focuses on conducting homeowner consultations, presenting roofing solutions and financing options, and managing the sales process through ServiceTitan. Offers W-2 employment, benefits, and estimated first-year earnings of $125K–$250K. 🗂️ Requirements: Valid driver's license, Clean driving record, Background check clearance, Comfortable climbing ladders and working on roofs, Ability to access attics, Strong communication skills, Ability to explain complex information clearly, Self-motivated and goal-oriented, Ability to work independently and in a team, Experience using CRM software, Experience using Microsoft Office, Experience using iOS tools, Comfortable working in various weather conditions, Ability to lift up to 75 lbs, Availability for evening and weekend appointments, Comfortable attending 2 weeks of paid training in another city 📃 Skills: CRM, ServiceTitan, Microsoft, Office, iOS, Sales, Financing, Roofing 🏢 Description: About Us We are River Roofing, installing beautiful and lasting roofs throughout the Oregon area since 1971. Our team specializes in residential and commercial roofing—handling everything from composition and tile to flat single-ply systems—with a relentless focus on clean workmanship and customer satisfaction. As an A+ BBB-accredited contractor offering transferable workmanship warranties, we pride ourselves on reliability and trusted service from our crews. We offer a team-oriented environment with opportunities for career growth, and as we continue to expand, we seek reliable, safety-focused team members to support our operations. Join us and become part of a skilled team committed to craftsmanship, integrity, and career development. This is a performance-driven, in-home sales role built for professionals who want uncapped earning potential within a structured, supported system. Unlike roles where you build everything from scratch, you step into an established platform designed to help you win. What You Can Expect - W-2 employee status (not 1099) - Uncapped commission structure - Estimated first-year earnings: 125K-250K - Pre-set, pre-qualified appointments provided - Additional incentives for self-generated leads - Company vehicle - Benefits + 401(k) match - Paid onboarding and training What Sets This Apart - Brand credibility and company-backed marketing - A proven, structured sales process - Financing options already in place - Operational and production support teams - CRM system (ServiceTitan) Your focus is selling and serving homeowners – you are not chasing cold leads or building infrastructure. Success here is consultative, not pressure based. Top performers clearly explain value, confidently lead pricing conversations, and execute the sales process with discipline. Key Responsibilities: - Conduct multiple in-home inspections and consultations daily - Diagnose homeowner needs and recommend appropriate roofing or exterior solutions - Present scope, pricing, and financing options with clarity and confidence - Guide homeowners through a structured consultation process from inspection to agreement - Complete contracts and documentation accurately in ServiceTitan - Maintain professional presentation, organized vehicle, and sales materials - Generate additional opportunities through referrals and self-sourced leads - Travel locally to customer homes (field-based role) What Success Looks Like: Top performers in this role: - Execute the full sales process consistently and without shortcuts - Maintain strong activity levels and pipeline discipline over time - Use coaching and feedback to continuously sharpen their craft - Hold value - they don't rely on discounting to win Who This Role Is a Great Fit For: - Professionals who have succeeded in commission-based, performance-driven environments - Clear communicators who can simplify complex information for homeowners - Individuals comfortable discussing pricing and financing decisions directly - Self-motivated sellers who take ownership of results and accountability This Role May NOT Be a Fit If You: - Rely on pressure tactics or discounting to close - Resist structured sales processes or coaching - Avoid direct conversations about money or pricing - Prefer low-accountability or desk-based environments Qualifications: Required: - Valid driver's license with a clean driving record & background check - Comfortable working on roofs, climbing ladders, and accessing attics - Strong interpersonal and communication skills to establish rapport and build trust - Self-motivated, goal-oriented, and able to work independently or as part of a team - Ability to present complex information in an easy-to-understand manner - Ability to use CRM software, Microsoft Office, and iOS tools - Must be comfortable working in various weather conditions - Ability to lift up to 75 lbs Preferred, not required: - In-home sales or home improvement sales experience (roofing experience not required) Training & Support: - Comprehensive paid training program; 2-week classroom training with additional field training - Paid training class session (expenses covered) - Must be comfortable with 2 weeks paid training in another city - Ongoing coaching and skill development Schedule & Work Environment: - Flexible weekly schedule with evening and weekend appointments as needed - Regularly engaged in outside sales, requiring travel to customer locations Compensation: - W-2 employee status (not 1099) with benefits and 401k match - Paid onboarding and training - Estimate of First-year earnings: 125K-250K - Pre-set and pre-qualified leads provided, with additional incentives for self-generated leads - Performance-based bonus opportunities Compensation & Benefits Disclosure Compensation for this role may be provided as hourly pay, salary, commission, piece-rate, bonuses, incentives, or a combination of these methods, depending on the position. The "Estimate of Total Expected Annual Earnings" listed reflects a good-faith estimate based on factors such as experience, skills, geographic location, historical trends, and business needs. Actual earnings may vary. Benefits: - Health, Dental, and Vision Insurance - 401(k) with company match - Company sponsored Life and AD&D coverage - Paid Time Off - Opportunities for growth and on-the-job training Why Join Us? At River Roofing, we take pride in our people, our work, and our commitment to integrity. If you're looking for a company where you can grow professionally while making a real impact, we'd love to hear from you! River Roofing is an equal opportunity employer and does not discriminate based on race, color, religion, sex, national origin, political affiliation, sexual orientation, marital status, disability, age, military service, or any other protected class.
Healthcare

Element Science
Accounts Receivable Specialist
Mid
Remote
Houston, TX
🏢 Summary: Fully remote Accounts Receivable Specialist role focused on end-to-end medical billing and revenue cycle management for a cardiac medical device company. The position owns claims submission, AR follow-up, denials and appeals, payment posting, and patient billing while helping build scalable billing processes. Ideal for an experienced DME billing professional comfortable with payer regulations, coding standards, and billing systems in a high-growth environment. 🗂️ Requirements: 3–5+ years medical billing and RCM experience, Experience in DME or HME industry, Knowledge of monthly rental billing and capped rentals, Understanding of HCPCS and ICD-10 coding, Experience with CMNs and prior authorizations, Ability to manage full-cycle insurance billing and AR, Proficiency in billing systems and payer portals, Eligibility to work in the United States 📃 Skills: HCPCS, ICD-10, CMN, RCM, DME, HME, Niko, BrightTree, CRM, Availity, Medicare, Medicaid 🏢 Description: SUMMARY OF ROLE: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. This is more than a billing role; it is an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we are looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you will own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You will work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). AR Follow-up: Monitor and aggressively pursue unpaid claims. Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce days in AR. QUALIFICATIONS: Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. The Startup Mindset: Comfortable with ambiguity and able to help build processes. Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and Payer Portals such as Availity. BENEFITS: Stock Options 90% employer-paid medical, dental, and vision insurance Company-paid Basic Life Insurance 401(k) retirement plan (Traditional and Roth) Competitive Paid Time Off Paid Holidays FSA (Flexible Spending Accounts) HSA (Health Savings Account) Employee Assistance Program through PEO In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance.
Healthcare

Element Science
Accounts Receivable Specialist
Mid
Remote
Austin, TX
🏢 Summary: Fully remote Accounts Receivable Specialist role focused on end-to-end medical billing and revenue cycle management within the DME/HME space. The position owns claims submission, AR follow-up, denials and appeals, and payment posting while helping build scalable billing processes during early commercialization. This role combines hands-on reimbursement operations with system optimization and cross-functional collaboration. 🗂️ Requirements: 3–5+ years medical billing and RCM experience, Experience in DME or HME industry, Knowledge of monthly rental billing and capped rentals, Understanding of HCPCS and ICD-10 coding, Experience with CMNs and Prior Authorizations, Ability to manage full-cycle insurance claims and AR follow-up, Proficiency in billing systems (Niko Health or BrightTree preferred), Experience with CRM systems and payer portals (e.g., Availity) 📃 Skills: RCM, DME, HME, HCPCS, ICD-10, CMN, PriorAuthorizations, Medicare, Medicaid, Availity, NikoHealth, BrightTree, CRM 🏢 Description: SUMMARY OF ROLE: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. This is more than a billing role, it's an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we're looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you'll own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You'll work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management - Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). - AR Follow-up: Monitor and aggressively pursue unpaid claims. - Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. - Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy - Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. - Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. - Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight - SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. - Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. - System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce "days in AR." QUALIFICATIONS: - Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. - Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. - Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. - The "Startup" Mindset: You are comfortable with ambiguity. You don't just wait for a manual; you help write it. - Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. - Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and Payer Portals such as Availity. BENEFITS: Element Science offers a very competitive salary and benefits package including, but not limited to: - Stock Options - 90% employer-paid medical, dental, and vision insurance - Company-paid Basic Life Insurance - 401(k) retirement plan (Traditional and Roth) - Competitive Paid Time Off - Paid Holidays - FSA (Flexible Spending Accounts) - HSA (Health Savings Account) - Employee Assistance Program through PEO The anticipated salary for this exempt position will be commensurate with experience, qualifications, and market factors and will be aligned with the established compensation range for the role. Element Science is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. We do not base our employment decision on an employee's or applicant's race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors prohibited by local, state, or federal law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance at Element Science.
Healthcare

Element Science
Accounts Receivable Specialist
Mid
Remote
San Antonio, TX
🏢 Summary: Fully remote Accounts Receivable Specialist role focused on end-to-end medical billing and revenue cycle management within the DME sector. The position involves owning claims submission, AR follow-up, denials and appeals, patient billing support, and helping build scalable billing processes in a growing commercialization-stage environment. This role combines hands-on reimbursement operations with system optimization and SOP development to support efficient, compliant revenue workflows. 🗂️ Requirements: 3–5+ years of medical billing and Revenue Cycle Management experience, Experience within Durable Medical Equipment (DME) or HME industry, Knowledge of monthly rental billing and capped rental workflows, Strong understanding of HCPCS codes and ICD-10 coding, Experience with CMNs and Prior Authorizations, Experience submitting electronic and paper claims to Medicare, Medicaid, and private payers, Ability to manage denials, appeals, and AR follow-up, Proficiency in billing systems and payer portals, Eligibility to work in the United States without visa sponsorship 📃 Skills: RCM, DME, HCPCS, ICD-10, CMN, PriorAuthorization, Medicare, Medicaid, Niko, BrightTree, CRM, Availity, ERAs, EOBs 🏢 Description: SUMMARY OF ROLE: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. This is more than a billing role; it is an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we are looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you will own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You will work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). AR Follow-up: Monitor and aggressively pursue unpaid claims. Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce "days in AR." QUALIFICATIONS: Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. The "Startup" Mindset: You are comfortable with ambiguity and help build processes where none exist. Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and payer portals such as Availity. BENEFITS: Stock Options 90% employer-paid medical, dental, and vision insurance Company-paid Basic Life Insurance 401(k) retirement plan (Traditional and Roth) Competitive Paid Time Off Paid Holidays FSA (Flexible Spending Accounts) HSA (Health Savings Account) Employee Assistance Program through PEO The anticipated salary for this exempt position will be commensurate with experience, qualifications, and market factors and will be aligned with the established compensation range for the role. Element Science is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, relocation assistance is not offered.