DME Pharmacy Billing Specialist

. Review DME billing for accuracy, compliance, and alignment with payer guidelines .

Posted 9/25/2026full-timeRemote • United StatesJuniorWebsite

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 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

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
Must be able to withstand long hours of computer screen time
Repetitive motion desk work

Comp & perks