About this opportunity
Pop-Up Talent lists this Medical Billing Specialist opportunity in oakland gardens, New York. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Medical Biller – Medicare & DME
Oakland Gardens, NY
Full-Time | On-Site | Monday–Friday, 9:00 AM–5:30 PM
Before applying for this role, please read the following information about this opportunity found below.
Are you an experienced Medical Biller who knows Medicare, DME billing, and insurance follow-up—and also knows how to provide great customer service?
We’re looking for a detail-oriented, persistent Medical Biller / Billing Specialist who can confidently manage claims, resolve denials, work directly with insurance carriers, and communicate professionally with patients regarding coverage, reimbursement, and account balances.
This is a hands-on billing role for someone who understands that successful medical billing requires both strong technical knowledge and excellent follow-through with people
This is a 100% on-site position. Remote work is not available.
WHAT YOU’LL DO:
Process Medicare, Medicaid, commercial insurance, third-party, DME, and Home Health Agency billing
Follow up on outstanding claims, payments, collections, eligibility, remittances, and appeals
Communicate daily with Medicare, Medicaid, commercial insurance carriers, third-party payers, and patients
Research and resolve denied, rejected, delayed, and unpaid claims
Troubleshoot complex pharmacy and DME reimbursement issues
Review A/R aging reports and aggressively follow up on outstanding balances
Help ensure outstanding claims do not exceed 90 days
Reconcile outstanding receivables for DME products
Post required Medicare and Medicaid information into the pharmacy operating system
Maintain complete and accurate patient account documentation
Contact patients regarding insurance reimbursement, balances, and payment information
Process credit card payments and establish monthly patient payment plans
Handle paper billing for primary and secondary pharmacy claims
Review prescriptions to help confirm items are covered by CMS or the appropriate third-party payer
Answer calls regarding Medicare, Medicaid, commercial insurance, and third-party reimbursement
Support workflow and performance-improvement initiatives
WHAT WE’RE LOOKING FOR:
Required:
At least 4+ years of Medicare billing experience
At least 3+ years of DME billing experience
Strong knowledge of Medicare Part B and third-party payment systems
Working knowledge of Medicare and Medicaid billing regulations and requirements
Experience with claim follow-up, denials, appeals, reimbursement, and A/R
Strong customer service and interpersonal skills
Ability to communicate professionally with patients and insurance carriers
Excellent attention to detail and documentation
Strong follow-through—you don't let unresolved claims or issues fall through the cracks
Ability to manage multiple priorities and meet deadlines
Experience with Microsoft Office, including Excel, Word, Outlook, PowerPoint, and Teams
High school diploma or equivalent preferred
A Plus:
Pharmacy reimbursement experience
Knowledge of state, federal, and commercial pharmacy reimbursement
Experience with MicroMerchant
Experience with QS/1
THE RIGHT PERSON FOR THIS ROLE:
You may be a great fit if you're someone who enjoys solving billing problems, tracking down answers, talking with insurance companies, and helping patients understand what happens next.
We're looking for someone who is organized, accountable, comfortable working independently, and persistent enough to follow a claim through until the issue is resolved.
SCHEDULE & WORK LOCATION:
Monday–Friday
9:00 AM–5:30 PM
Full-Time
On-Site Only – No Remote
BENEFITS:
401(k)
Health insurance
Dental insurance
Vision insurance
Paid time off
Employee discount
If you have strong Medicare and DME billing experience and take pride in providing excellent customer service, we’d like to hear from you. Apply today.
We are an equal opportunity employer, and we are an organization that values diversity. xzgxqkn We welcome applications from all qualified candidates, including minorities and persons with disabilities.
req
Worksite address
oakland gardens, NY, 11364, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.