Outsourced Brightree billing specialist for DME and HME suppliers
You deliver the equipment, one specialist gets it paid in Brightree.
Neon Link gives durable medical equipment suppliers that bill in Brightree one dedicated, full-time DME billing specialist who checks every order's paperwork before the claim goes out, bills rentals, purchases and resupply to Medicare's DME contractors, Medicaid and commercial plans, and works the denials and aging that follow. They work remotely from the Philippines or India on your US business hours, inside Brightree and your payer portals, while delivery, setup and clinical qualification stay with your team and the prescriber. It costs $2,995 a month, month to month, with no setup fee.
Rates come from our live rate card. Page updated .
See 3 candidate profiles for your role
Tell us the role. Within 48 hours our team emails you 3 anonymized profiles from people who applied for this kind of work with us: their experience, their region and the software they use.
What your Linker handles
- Check each order before billing: the written order, proof of delivery, the prescriber's notes and any test results or forms the item's coverage rules call for
- Request missing or incomplete documents from the prescriber's office, and hold the claim until the file supports it
- Bill rentals month by month, purchases and resupply in Brightree with the right HCPCS codes and modifiers, and stop or convert rentals when the rules say so
- Submit claims to the Medicare DME contractor for the patient's state, Medicaid and commercial plans, and clear rejections before they reach the payer
- Work denials from their CARC and RARC codes, such as missing documentation, missing modifiers or same or similar equipment, and correct, resubmit or prepare the appeal
- Verify eligibility and benefits, and track prior authorizations for the items that need one
- Post payments from ERAs and EOBs, and flag underpayments, credit balances and patient balances by your rules
- Send the billing manager a short weekly note on claims out, denials worked, AR by bucket and documents waiting on prescribers
We screen for Brightree, and for NikoHealth or the DME system you run where it is not Brightree, plus the Medicare DME contractor portals your claims go through and clearinghouses such as Availity or Waystar. Brightree experience puts a candidate at the front of the line for this role, but it is not a requirement, so not every specialist has used it. If a finalist has not used yours, you'll know before they start.
How the work is measured
What your Linker is measured on. The targets are set with you in the first week, from your volumes and your hours, and written into your statement of work.
- No claim sent without the documents its coverage rules call for, with the gaps sent back to the prescriber's office
- Every denial worked from its codes to a corrected claim, an appeal or a documented close
- Rentals billed every month they are due, and stopped or converted when the rules say so
- Days in AR and the 90 plus day bucket moving the right way, against targets set with you
What a team costs
| Team | Month to month | 6-month plan |
|---|---|---|
| 1 Linker | $2,995 | $2,895 |
| 2 Linkers | $5,990 | $5,790 |
| 3 Linkers | $8,985 | $8,685 |
| 4 Linkers | $11,980 | $11,580 |
| 5 Linkers | $14,975 | $14,475 |
| 6 Linkers | $17,970 | $17,370 |
Per month. 40 hours a week per Linker. No setup fee. Prices from our live rate card.
How we vet your Linker
Our recruiting team in the Philippines runs a strict screening and review of every applicant, using a process built by our founder, Dan Betthauser, from twenty years running outsourced operations across the Philippines, Costa Rica and the United States. Every Linker goes through:
- A screen of the application against your role: the work, the software and the experience you need
- A recorded spoken English sample, reviewed by our team
- A practical skills test for your work, scored in our own system
- A live video interview with our recruiting team
- An ID check and a background check: NBI clearance in the Philippines, police clearance in India and Pakistan
- A workspace check before day one: a quiet, private room, wired internet, a backup connection and a plan for power outages
- A signed confidentiality agreement before they see any of your data
- Your own interview with the finalist: nobody starts until you say yes
How it starts
- Step 1Tell us the work: a 15 or 30 minute call with our team, or the sixty second scope on the homepage.
- Step 2Get a written quote at the published rate, held for 30 days.
- Step 3We recruit and screen for your work and your software, and you interview the finalist before they start.
- Step 4Your Linker works your queue on your hours. A Neon Link manager runs the account and answers when you need them.
- Step 5If the fit is wrong in the first 60 days, we swap them at no cost.
A good fit, and not a fit
- DME and HME suppliers billing oxygen, CPAP and resupply, mobility or diabetic supplies in Brightree
- Suppliers whose denials pile up because documents come back from prescribers incomplete and nobody chases them
- Billing companies that serve DME suppliers and want one more person who already reads DME coverage rules
- Delivering or setting up equipment, fitting patients or any clinical qualification. That stays with your team and the prescriber
- Deciding medical necessity or changing what a prescriber ordered. Your Linker requests documents; the prescriber writes them
- Owning your supplier enrollment and the standards payers hold you to. Your Linker can track the paperwork; your compliance lead owns it
- Suppliers whose state Medicaid program or payer contracts do not allow patient data to be handled offshore. Check yours before you start
Open roles behind this page
We recruit for this work now. These are the live postings we hire your Linker from:
See 3 candidate profiles for your role
Tell us the role. Within 48 hours our team emails you 3 anonymized profiles from people who applied for this kind of work with us: their experience, their region and the software they use.
Questions owners ask
How much does it cost to outsource DME billing in Brightree?
$2,995 a month for one dedicated, full-time person (40 hours a week), month to month, or $2,895 a month on the 6-month plan. There is no setup fee, and pay, equipment and management are inside that one number. For comparison, a US medical records specialist costs about $5,990 a month fully loaded, using the BLS median wage plus employer costs.
Do your specialists know Brightree?
We screen for it, but it is not a requirement of the role, so not every specialist has used it. What the role does require is US healthcare billing experience: claims, denials worked from their codes, payment posting and AR. If a finalist has not used Brightree, you'll know before they start.
Why is DME billing different from billing for a practice?
The claim depends on paperwork that comes from someone else. Each item has its own coverage rules for the written order, the prescriber's notes and sometimes a test result, rentals bill month by month on their own schedule, and Medicare DME claims go to the contractor for the patient's state, not the supplier's. Most DME denials trace back to a missing or incomplete document, which is why your specialist checks the file before the claim goes out.
How is patient information handled?
HIPAA requires a business associate agreement before an outside party handles patient information, so one is signed before your Linker sees any. Your Linker signs a confidentiality agreement, passes a background check, and works from a private space where patient information cannot be seen or overheard. We screen for people who understand the HIPAA minimum necessary rule and keep patient records off personal devices, and they work inside your systems with the access you give them. Some state Medicaid programs and payer contracts limit offshore access to patient data, so check yours before you start.
How is this different from hiring a virtual assistant?
You get one dedicated person who handles your work on your hours, inside your software, and a Neon Link manager runs the account: pay, equipment, replacement if it comes to that, and a phone that gets answered. You never run offshore payroll or manage a freelancer alone. It is not a ticket queue or a 24/7 answering line.
How fast can someone start?
We start recruiting when you say go. You interview the finalist before anyone starts, and the start date is set with you once you pick the person. We would rather take the time to find the right fit than hand you whoever is free.
What if the person is not the right fit?
If the fit is wrong in the first 60 days, we swap them at no cost. After that, if they leave, we recruit the replacement at no charge and manage the handover. Training on your process runs at the normal monthly rate.
Do we have to sign a long contract?
No. Month to month is available on every plan. The 6-month plan trades a longer commitment for a lower monthly rate. A written quote at the published rate is held for 30 days.
Related pages
- Medical Billing Companies: Claims follow-up, AR and denials, payer enrollment, the queues your team never gets to.
- DME order intake specialist: What a dedicated specialist costs to take in DME referrals, check orders and benefits, chase missing documents and hand your team a file ready to schedule.
- Underpayment recovery specialist: What a dedicated specialist costs to find payer underpayments against your contracted rates and work them back, for a flat monthly price instead of a share of what comes back.
Brightree is a trademark of its owner. Neon Link is not affiliated with or endorsed by its owner.
1 US medical records specialist, fully loaded: ~$5,990/mo How we calculate this
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