Medicare & DME Billing Specialist – On-Site

CoreTechs; New York (NY); On-site; USD 39,000 - 52,000; Full time

Benefits offered by this job

401(k)

Health insurance

Dental insurance

Vision insurance

Paid time off

Employee discount

Job summary

CoreTechs is seeking an experienced Medical Biller – Medicare & DME in Oakland Gardens, NY. This on-site role focuses on processing Medicare/Medicaid and related third-party billing, with daily communications with carriers and patients.

The ideal candidate has 4+ years of Medicare billing and 3+ years of DME billing experience, and excels at resolving denials with thorough documentation. The position requires strong knowledge of CMS rules, A/R management, and the ability to manage multiple

Qualifications

• At least 4+ years of Medicare billing experience.
• At least 3+ years of DME billing experience.
• Strong knowledge of Medicare Part B and third-party payment systems.
• Working knowledge of Medicare and Medicaid billing regulations and requirements.
• Experience with claim follow-up, denials, appeals, reimbursement, and A/R.
• Excellent customer service and interpersonal skills.
• Ability to communicate professionally with patients and insurance carriers.
• Attention to detail and thorough documentation.
• Strong follow-through to resolve claims without letting issues fall through cracks.

Responsibilities

• Process Medicare, Medicaid, commercial insurance, third-party, DME, and Home Health Agency billing.
• Follow up on outstanding claims, payments, collections, eligibility, remittances, and appeals.
• Communicate daily with Medicare, Medicaid, commercial insurance carriers, third-party payers, and patients.
• Research and resolve denied, rejected, delayed, and unpaid claims.
• Troubleshoot complex pharmacy and DME reimbursement issues.
• Review A/R aging reports and aggressively follow up on outstanding balances.
• Help ensure outstanding claims do not exceed 90 days.
• Reconcile outstanding receivables for DME products.
• Post required Medicare and Medicaid information into the pharmacy operating system.
• Maintain complete and accurate patient account documentation.
• Contact patients regarding insurance reimbursement, balances, and payment information.
• Process credit card payments and establish monthly patient payment plans.
• Handle paper billing for primary and secondary pharmacy claims.
• Review prescriptions to confirm CMS or third-party coverage.
• Answer calls regarding Medicare, Medicaid, and third-party reimbursement.
• Support workflow and performance-improvement initiatives.

Skills

Medicare billing

DME billing

Customer service

Communication

Attention to detail

Multitasking

Organizational skills

Follow-through

Education

High school diploma or equivalent

Tools

QS/1

MicroMerchant

Microsoft Office

Job description

CoreTechs is seeking an experienced Medical Biller – Medicare & DME in Oakland Gardens, NY. This on-site role focuses on processing Medicare/Medicaid and related third-party billing, with daily communications with carriers and patients.

The ideal candidate has 4+ years of Medicare billing and 3+ years of DME billing experience, and excels at resolving denials with thorough documentation. The position requires strong knowledge of CMS rules, A/R management, and the ability to manage multiple