DME Pharmacy Billing Specialist

Tarrytown Expocare; Austin, Northern (TX, KY); Ibrido; USD 52.000 - 75.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive compensation

Comprehensive healthcare benefits

401(k) retirement plan

Paid time off

Awesome work environment

Opportunities to advance and grow your

And More

Descrizione del lavoro

The DME Billing Specialist at Tarrytown Expocare Pharmacy works fully remotely from the United States. You will review and bill durable medical equipment claims, ensuring accuracy and compliance with Medicare Part B and Medicaid, and interpreting payer guidelines to maximize timely reimbursements for our multi-site operation.

You will collaborate with pharmacists, technicians, medical professionals, and insurance carriers across a nationwide network, verify HCPCS codes, adjudicate denials, and

Competenze

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

Mansioni

• 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.

Conoscenze

DME billing

Medicare Part B

Medicaid billing

Claims adjudication

Payer guidelines interpretation

Strumenti

Frameworks LTC

ECM

Medbill

Descrizione del lavoro

# DME Pharmacy Billing SpecialistFully Remote • Remote Worker - NA - Austin, TX 78757## OverviewPosition TypeFull TimeTravel PercentageNone## DescriptionWe 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 Team**Location:** Fully Remote**Hours:** Monday-Friday 8AM - 5PM CST**Tarrytown 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 compensation* Comprehensive healthcare benefits* 401(k) retirement plan* Paid time off* An awesome work environment* Opportunities to advance and grow your career* And 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.## Qualifications### **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/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.**Physical Requirements:*** Must be able to withstand long hours of computer screen time* Repetitive motion desk work*Tarrytown 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.*