Medicare Specialist – Supervisor

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🏄 California – Remote

🏄 California – Remote

💵 $82k - $100k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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SG Homecare

WebsiteLinkedInAll Job Openings

11 - 50 employees

💰 Private Equity Round on 2022-06

We are California's Leader in Durable Medical Equipment & Supplies

📋 Description

• Supervise, coach, and develop Medicare Specialists and related support staff • Conduct regular one-on-one meetings, performance evaluations, and productivity reviews • Monitor staffing levels and distribute workloads to ensure timely and efficient order processing • Create and implement training plans focused on Medicare regulations and operational best practices • Oversee the review and processing of Medicare orders to ensure accuracy • Ensure all required documentation is obtained prior to order fulfillment • Review and resolve complex Medicare eligibility and documentation issues • Monitor order queues and workflow backlogs to ensure service level expectations • Maintain compliance with Medicare regulations and company policies • Conduct quality audits of completed orders and team workflows • Analyze trends related to denials and recommend corrective actions • Collaborate with cross-functional teams to support efficient order processing and reimbursement success

🎯 Requirements

• High School Diploma or GED required • Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred • Minimum of five (5) years of experience in the Durable Medical Equipment (DME) industry required • Minimum of three (3) years of Medicare-focused operational experience required • Minimum of two (2) years of supervisory, team lead, or leadership experience preferred • Advanced knowledge of Medicare Part B regulations, DMEPOS documentation requirements, prior authorization processes • Strong understanding of audit readiness, denial prevention strategies, and payer documentation requirements • Experience working within Brightree or similar DME management systems • Strong analytical, problem-solving, and decision-making capabilities • Effective leadership, coaching, and team development skills • Excellent verbal and written communication skills with the ability to communicate complex Medicare requirements clearly • Ability to manage multiple priorities and adapt in a fast-paced, high-volume environment • Proficiency in Microsoft Office Suite, operational reporting tools, and performance dashboards.

🏖️ Benefits

• Travel to California Offices Required Quarterly