Billing & Compliance Specialist

About Pro Medical East

Founded in 2001, Pro Medical East has established itself as a national leader in the Orthotic and Prosthetic (O&P) industry. Starting as a single retail in NJ, we have grown over the last 20+ years into a multi-location operation serving patients and healthcare facilities in more than 30 states. Our mission is to make quality care accessible by providing essential bracing and prosthetic solutions at low to no cost for patients. As an in-network provider for Medicare and over 100 insurance payers, we pride ourselves on industry-leading turnaround times and genuine clinical expertise. We are a tech-forward, fast-paced organization looking for a Billing & Compliance Specialist who can help us maintain our high standards of operational excellence and regulatory integrity.

Who We Are Looking For

We are seeking a high-caliber professional who thrives at the intersection of financial precision and operational leadership. The ideal candidate isn’t just looking to "check boxes"—you are a problem-solver who enjoys deconstructing complex AR trends, building scalable processes, and mentoring a global team.

You are someone who feels at home in a fast-paced, tech-forward environment where "the way we’ve always done it" is constantly challenged by "how we can do it better." If you are a resilient, detail-obsessed specialist who takes pride in maintaining 100% compliance while driving revenue efficiency, you’ll fit right in.

Key Responsibilities

Revenue Cycle & Billing

• Operations: Lead daily billing, payment processing, and clearinghouse management.
• AR Strategy: Analyze AR trends, troubleshoot errors, and refine billing policies.
• Patient Experience: Optimize billing and collections for clarity and efficiency.

Compliance & Credentialing

• Documentation: Maintain digital, paperless credentialing and compliance files.
• Regulatory: Manage re-credentialing and compliance for 200+ insurance contracts.

Data & Technology

• Reporting: Analyze system data to prepare commission and performance reports.
• Innovation: Identify bottlenecks and implement tech-driven software solutions.

Team Management

• Oversight: Manage productivity and quality for local and offshore (DR) teams.
• Mentorship: Coach outsourced teams to maintain accuracy in high-volume environments.
• Support: Assist sales operations as required.

Compensation & Benefits

• Salary: Competitive salary up to $90K based on experience
• Insurance: Comprehensive health, dental, and vision insurance.
• Perks: Paid time off (PTO), company holidays

REQUIREMENTS

Qualifications

• Experience: 3+ years in healthcare billing, revenue cycle management, or compliance.
• Industry Knowledge: Strong understanding of AR, reimbursement systems, and healthcare regulatory requirements.
• Tech Stack: Proficiency with spreadsheets and reporting tools; highly comfortable learning, implementing, and optimizing new software systems.
• Leadership: Experience managing remote or offshore teams is preferred.

Core Competencies

• Analytical & Detail-Oriented: You spot trends in the data and ensure nothing falls through the cracks.
• Tech-Savvy & Process-Driven: You enjoy using technology to build more efficient workflows.
• Highly Accountable: You take full ownership of results and team performance.
• Resilient & Adaptable: You thrive in a fast-paced environment and can pivot as industry regulations change.