Medicare & DME Billing Specialist — On-Site

Pop-Up Talent; New York (NY); Presencial; USD 55.000 - 75.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

401(k)

Health insurance

Vision insurance

Paid time off

Descripción de la vacante

Pop-Up Talent is seeking a Medical Biller for an on-site role in New York. The ideal candidate will manage Medicare, DME, and insurance billing with strong customer service and accurate documentation.

You will follow up on claims, resolve denials, and communicate with carriers and patients, ensuring timely reimbursements and compliant billing. This full‑time position requires on-site presence Monday through Friday.

Formación

• 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.
• Strong customer service and interpersonal skills.
• Ability to communicate professionally with patients and insurance carriers.
• Excellent attention to detail and documentation.
• Strong follow‑through—you don't let unresolved claims or issues fall through the cracks.
• Ability to manage multiple priorities and meet deadlines.
• Experience with Microsoft Office, including Excel, Word, Outlook, PowerPoint, and Teams.

Responsabilidades

• 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 help confirm items are covered by CMS or the appropriate third‑party payer.
• Answer calls regarding Medicare, Medicaid, commercial insurance, and third‑party reimbursement.
• Support workflow and performance‑improvement initiatives.

Conocimientos

Medicare billing

DME billing

Customer service

A/R management

Denials follow-up

Communication with patients

Documentation accuracy

Educación

High school diploma or equivalent

Herramientas

Microsoft Office Suite

Excel

Word

Outlook

PowerPoint

Teams

MicroMerchant

QS/1

Descripción del empleo

Pop-Up Talent is seeking a Medical Biller for an on-site role in New York. The ideal candidate will manage Medicare, DME, and insurance billing with strong customer service and accurate documentation.

You will follow up on claims, resolve denials, and communicate with carriers and patients, ensuring timely reimbursements and compliant billing. This full‑time position requires on-site presence Monday through Friday.