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SG Homecare

Medicare Specialist – Supervisor

SG Homecare

Medicare Specialist Supervisor managing operations and compliance in Medicare documentation at Stance Health Solutions. Providing leadership and quality assurance within the Durable Medical Equipment organization.

Posted 7/7/2026full-timeRemote • California • 🇺🇸 United StatesMid-LevelSenior💰 $82,000 - $100,000 per yearWebsite

About the role

Key responsibilities & impact
  • Supervise, coach, and develop Medicare Specialists and related support staff
  • Conduct regular one-on-one meetings, performance evaluations, and productivity reviews
  • Monitor staffing levels and distribute workloads to ensure timely and efficient order processing
  • Create and implement training plans focused on Medicare regulations and operational best practices
  • Oversee the review and processing of Medicare orders to ensure accuracy
  • Ensure all required documentation is obtained prior to order fulfillment
  • Review and resolve complex Medicare eligibility and documentation issues
  • Monitor order queues and workflow backlogs to ensure service level expectations
  • Maintain compliance with Medicare regulations and company policies
  • Conduct quality audits of completed orders and team workflows
  • Analyze trends related to denials and recommend corrective actions
  • Collaborate with cross-functional teams to support efficient order processing and reimbursement success

Requirements

What you’ll need
  • High School Diploma or GED required
  • Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred
  • Minimum of five (5) years of experience in the Durable Medical Equipment (DME) industry required
  • Minimum of three (3) years of Medicare-focused operational experience required
  • Minimum of two (2) years of supervisory, team lead, or leadership experience preferred
  • Advanced knowledge of Medicare Part B regulations, DMEPOS documentation requirements, prior authorization processes
  • Strong understanding of audit readiness, denial prevention strategies, and payer documentation requirements
  • Experience working within Brightree or similar DME management systems
  • Strong analytical, problem-solving, and decision-making capabilities
  • Effective leadership, coaching, and team development skills
  • Excellent verbal and written communication skills with the ability to communicate complex Medicare requirements clearly
  • Ability to manage multiple priorities and adapt in a fast-paced, high-volume environment
  • Proficiency in Microsoft Office Suite, operational reporting tools, and performance dashboards.

Benefits

Comp & perks
  • Travel to California Offices Required Quarterly

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
Medicare Operational ExperienceOrder ProcessingQuality AuditsDenial Prevention StrategiesPerformance Reporting
Soft Skills
Coaching SkillsEffective CommunicationTeam DevelopmentAdaptabilityDecision-Making
Certifications
High School DiplomaGEDAssociate's DegreeBachelor's Degree