Medicare & DME Billing Specialist — On-Site

Pop-Up Talent

New York (NY)

On-site

USD 55,000 - 75,000

Full time

40 hours ago
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Benefits offered by this job

401(k)
Health insurance
Dental insurance
Vision insurance
Paid time off
Employee discount

Job summary

Pop-Up Talent in Oakland Gardens, NY is seeking a Medical Biller who specializes in Medicare, DME billing, and insurance follow-up. This on-site role requires precise claims processing and professional patient communications.

You will handle denials, appeals, and AR aging, coordinating with Medicare, Medicaid, and private payers while ensuring timely reimbursements and compliant documentation. This full-time, on-site position emphasizes accuracy and customer service.

Qualifications

  • 4+ years of Medicare billing experience.
  • 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.

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 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.

Skills

Medicare billing
DME billing
Customer service
Communication with patients
Attention to detail
Multitasking
Microsoft Office

Education

High school diploma or equivalent

Tools

Excel
Word
Outlook
PowerPoint
Teams

Job description

Pop-Up Talent in Oakland Gardens, NY is seeking a Medical Biller who specializes in Medicare, DME billing, and insurance follow-up. This on-site role requires precise claims processing and professional patient communications.

You will handle denials, appeals, and AR aging, coordinating with Medicare, Medicaid, and private payers while ensuring timely reimbursements and compliant documentation. This full-time, on-site position emphasizes accuracy and customer service.

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