DME Billing Specialist

Job Summary

To support durable medical equipment billing across multiple pharmacy locations, the remote DME Billing Specialist will review billing for accuracy, resolve claim issues, and communicate with pharmacy teams and insurance carriers during regular Monday to Friday hours.

Key responsibilities

• Review DME billing for accuracy and compliance with payer guidelines
• Adjudicate claims and follow up on unpaid claims, rejections, and denials
• Utilize billing systems to process and manage DME claims effectively

Required qualifications

• Strong knowledge of DME billing, Medicare Part B, and Medicaid requirements
• Minimum of 1 year of experience in a retail or long-term care pharmacy environment
• 1-3 years of DME billing experience required
• Proficiency with Frameworks LTC and ECM; Medbill experience preferred
• Ability to interpret payer guidelines and apply them accurately to claims