Remote DME Billing Specialist — Medicare & Medicaid Expert

Tarrytown Expocare; Austin (TX); Remote; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive compensation

Comprehensive healthcare benefits

401(k) retirement plan

Paid time off

Remote work environment

Career advancement opportunities

Job summary

Tarrytown Expocare Pharmacy is seeking a detail-oriented DME Billing Specialist to support durable medical equipment billing across multiple pharmacy locations.

This fully remote role requires strong DME billing knowledge, including Medicare Part B and Medicaid requirements, and the ability to review documentation, resolve claim issues, and communicate effectively with internal pharmacy teams, medical professionals, and insurance carriers.

Qualifications

• Strong knowledge of DME billing, Medicare Part B, and Medicaid 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.

Responsibilities

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

Skills

DME billing

Medicare Part B

Medicaid billing

Verbal communication

Written communication

Detail oriented

Claim review

Tools

Frameworks LTC

ECM

Medbill

Job description

Tarrytown Expocare Pharmacy is seeking a detail-oriented DME Billing Specialist to support durable medical equipment billing across multiple pharmacy locations.

This fully remote role requires strong DME billing knowledge, including Medicare Part B and Medicaid requirements, and the ability to review documentation, resolve claim issues, and communicate effectively with internal pharmacy teams, medical professionals, and insurance carriers.