DME Pharmacy Billing Specialist

Tarrytown Expocare Pharmacy

DME Billing Specialist supporting durable medical equipment billing for long-term care pharmacy across locations. Requires strong DME billing knowledge and experience with Medicare and Medicaid.

Posted 7/21/2026full-timeRemote • New York • 🇺🇸 United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong expertise in DME billing processes, including compliance with Medicare Part B and Medicaid requirements, while effectively communicating with healthcare professionals and resolving claims issues. Proficient in using billing systems such as Frameworks LTC, ECM, and Medbill to enhance claim accuracy and workflow efficiency.

Highest-signal resume keywords

DME Billing KnowledgeMedicare Part B ComplianceMedicaid Billing RequirementsFrameworks LTC ProficiencyClaims Resolution Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

DME BillingHCPCS Code VerificationClaims AdjudicationClaim ReviewBilling Issue Identification

Soft Skills

Excellent Communication SkillsAttention to DetailProblem-Solving Ability

Tools & Technologies

Frameworks LTCECMMedbill

Industry Keywords

Payer GuidelinesClaim SubmissionRetail Pharmacy ExperienceLong-Term Care Pharmacy ExperienceClaim Denial Resolution

About the role

Key responsibilities & impact

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.
Identify billing issues, recommend corrections, and help improve claim accuracy and workflow efficiency.
Perform other related duties as assigned.

Requirements

What you’ll need

Strong knowledge of DME billing, Medicare Part B, and Medicaid billing 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.
Proficiency with Frameworks LTC and ECM; Medbill experience preferred.
Minimum of 1 year of experience in a retail or long-term care pharmacy environment; 2+ years preferred.
1-3 years of DME billing experience required.
Experience resolving denied or unpaid DME claims strongly preferred.

Benefits

Comp & perks

Competitive compensation
Comprehensive healthcare benefits
401(k) retirement plan
Paid time off
An awesome work environment
Opportunities to advance and grow your career
And More!