People Helping People
Medicare Specialist – Supervisor
Location
California
Posted
3 days ago
Salary
$82K - $100K / year
Seniority
Senior
Job Description
Medicare Specialist – Supervisor
SG Homecare
• 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
Job 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
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