Remote DME Pharmacy Billing Specialist – Medicare/Medicaid

Tarrytown Expocare Pharmacy; Austin (TX); À distance; USD 55 000 - 75 000; Plein temps

Avantages offerts par ce poste

Competitive pay

Health benefits

401k retirement plan

Paid time off

Great work environment

Career growth opportunities

Résumé du poste

Tarrytown Expocare Pharmacy seeks a detail-oriented DME Billing Specialist to support durable medical equipment billing across multiple locations. This remote role emphasizes Medicare Part B and Medicaid compliance, claim resolution, and collaboration with pharmacy teams nationwide.

Responsibilities include reviewing DME billing for accuracy, verifying HCPCS codes, adjudicating claims, and using Frameworks LTC, ECM, and Medbill.

Qualifications

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

Responsabilités

• 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.

Connaissances

DME billing

Medicare Part B

Medicaid billing

Claims follow-up

Communication skills

Detail-oriented

Outils

Frameworks LTC

ECM

Medbill

Description du poste

Tarrytown Expocare Pharmacy seeks a detail-oriented DME Billing Specialist to support durable medical equipment billing across multiple locations. This remote role emphasizes Medicare Part B and Medicaid compliance, claim resolution, and collaboration with pharmacy teams nationwide.

Responsibilities include reviewing DME billing for accuracy, verifying HCPCS codes, adjudicating claims, and using Frameworks LTC, ECM, and Medbill.