DME Pharmacy Billing Specialist

Tarrytown Expocare; Austin (TX); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Competitive pay

Health benefits

401k retirement plan

Paid time off

Great work environment

Career growth opportunities

Job summary

Tarrytown Expocare Pharmacy seeks a detail-oriented DME Billing Specialist to support durable medical equipment billing across multiple locations. This remote role emphasizes Medicare Part B and Medicaid compliance, claim resolution, and collaboration with pharmacy teams nationwide.

Responsibilities include reviewing DME billing for accuracy, verifying HCPCS codes, adjudicating claims, and using Frameworks LTC, ECM, and Medbill.

Qualifications

• Strong knowledge of DME billing, Medicare Part B, and Medicaid billing.
• Ability to interpret payer guidelines and apply them accurately to claim review and submission.
• Excellent verbal and written communication skills.
• Strong attention to detail and ability to follow up on open items until resolved.

Responsibilities

• Review DME billing for accuracy, compliance, and alignment with payer guidelines.
• Verify and correct HCPCS codes, quantities, chart notes, and supporting documentation.
• Adjudicate claims and follow up on unpaid claims, rejections, and denials through resolution.
• Use billing systems including Frameworks LTC, ECM, and Medbill to process and manage DME claims.
• Communicate with pharmacists, technicians, medical professionals, insurance companies, and pharmacy teams across multiple locations.

Skills

DME billing

Medicare Part B

Medicaid billing

Claims follow-up

Communication skills

Detail-oriented

Tools

Frameworks LTC

ECM

Medbill

Job description

We are seeking a detail-oriented DME Billing Specialist to support durable medical equipment billing across multiple pharmacy locations. This remote role requires strong DME billing knowledge, including Medicare Part B and Medicaid requirements, along with the ability to review documentation, resolve claim issues, and communicate effectively with internal pharmacy teams, medical professionals, and insurance carriers.Great New Career Opportunity in Long-Term Care Pharmacy!Now Hiring – DME Pharmacy Billing Specialist for Our 3rd Party Billing TeamLocation: Fully RemoteHours: Monday-Friday 8AM - 5PM CSTTarrytown Expocare Pharmacy – We are a long-term care pharmacy that provides specialized care for individuals with intellectual and developmental disabilities throughout the United States. We originated as part of an independent retail pharmacy, Tarrytown Pharmacy, which has been serving the local community since 1941. Through our dedication to provide excellence to our customers, we have grown from a small independent pharmacy to a multi-state long-term care pharmacy solution. If you are hardworking, dedicated and looking for a change in your career, we may have an opportunity for you!We are proud to offer:Competitive compensationComprehensive healthcare benefits401(k) retirement planPaid time offAn awesome work environmentOpportunities to advance and grow your careerAnd More!Duties and Responsibilities:Review DME billing for accuracy, compliance, and alignment with payer guidelines.Verify and correct HCPCS codes, quantities, chart notes, and supporting documentation.Adjudicate claims and follow up on unpaid claims, rejections, and denials through resolution.Use billing systems including Frameworks LTC, ECM, and Medbill to process and manage DME claims.Communicate with pharmacists, technicians, medical professionals, insurance companies, and pharmacy teams across multiple locations.Identify billing issues, recommend corrections, and help improve claim accuracy and workflow efficiency.Perform other related duties as assigned.Required Skills/Abilities:Strong knowledge of DME billing, Medicare Part B, and Medicaid billing requirements.Ability to interpret payer guidelines and apply them accurately to claim review and submission.Excellent verbal and written communication skills.Strong attention to detail and ability to follow up on open items until resolved.Proficiency with Frameworks LTC and ECM; Medbill experience preferred.Minimum of 1 year of experience in a retail or long-term care pharmacy environment; 2+ years preferred.1-3 years of DME billing experience required.Experience resolving denied or unpaid DME claims strongly preferred.Preferred Skills/AbilitiesStrong knowledge of DME billing, Medicare Part B, and Medicaid billing requirements.Ability to interpret payer guidelines and apply them accurately to claim review and submission.Excellent verbal and written communication skills.Strong attention to detail and ability to follow up on open items until resolved.Proficiency with Frameworks LTC and ECM; Medbill experience preferred.Physical Requirements:Must be able to withstand long hours of computer screen timeRepetitive motion desk workTarrytown Expocare is an equal opportunity employer and values diversity at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.