Tarrytown Expocare Pharmacy

Billing Specialist

• 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 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

DME Pharmacy Billing Specialist

Pharmacist

• Accurately and efficiently enter new or renewed orders
• Adjudicate insurance claims and resolve rejections
• Properly handle order exceptions and clarifications such as refill-too-soon and invalid orders
• Communicate effectively with leadership and peers
• Achieve or exceed productivity standards in a fast-paced environment

Pharmacy Technician, Order Entry

• Adjudicate insurance claims and resolve rejections in a multi-state environment
• Properly handle order exceptions such as refill-too-soon and invalid orders
• Work with prescribers to clarify prescriptions and obtain prior authorizations
• Manage routine notification of insurance issues and communicate with caregivers
• Stay updated on current Medicare/Medicaid policies and common insurance practices
• Work with others to resolve common coverage issues or concerns

Pharmacy Technician – Billing Specialist

Account Manager

• Build and maintain trusted relationships with assigned accounts and agency staff
• Visit client locations throughout the pharmacy service area
• Provide pharmacy service audits and training collaboratively and supportively
• Document findings in the pharmacy CRM tool
• Submit daily reports by email to designated pharmacy contacts
• Understand pharmacy services and scope to communicate pharmacy processes effectively
• Resolve complaints and grievances related to pharmacy services with the pharmacy team
• Educate clients on pharmacy processes
• Discuss ideas with pharmacy staff to meet consumer demands effectively
• Participate in professional meetings, conferences, and sponsored events as requested
• Manage complex client concerns and requests professionally
• Support appropriate resolution and adequate follow-up
• Assist with client onboarding and collaboration among clients, sales, and pharmacy teams
• Serve as a liaison between pharmacy operations and agencies to ensure service consistency, client satisfaction, and retention