What are the responsibilities and job description for the DME Program Specialist position at Consonus Pharmacy?
Overview:
What’s your wish list for the perfect job? Maybe it’s to make a positive impact in the world, or to grow your career in healthcare. Maybe working with a supportive team is top priority, or to feel respected and valued.
If your answer is “all of the above,” consider joining our team at Consonus Pharmacy. It’s a perfect opportunity for compassionate people dedicated to people’s health and well-being.
Consonus Pharmacy is a closed-door long-term care pharmacy specializing in the needs of nursing facilities, assisted living residents, and their caregivers. We are currently hiring a DME Program Specialist to join our team!
Overview
This role will ensure seamless execution of all DME-related processes, optimize workflows, and drive compliance with industry regulations while leading a team of specialists. The ideal candidate is a person who thrives on process improvement, automation, and data-driven decision-making.
As the DME Program Specialist your responsibilities will include, but are not limited to:
Benefits may include:
DME Program Specialist
What’s your wish list for the perfect job? Maybe it’s to make a positive impact in the world, or to grow your career in healthcare. Maybe working with a supportive team is top priority, or to feel respected and valued.
If your answer is “all of the above,” consider joining our team at Consonus Pharmacy. It’s a perfect opportunity for compassionate people dedicated to people’s health and well-being.
Consonus Pharmacy is a closed-door long-term care pharmacy specializing in the needs of nursing facilities, assisted living residents, and their caregivers. We are currently hiring a DME Program Specialist to join our team!
Overview
This role will ensure seamless execution of all DME-related processes, optimize workflows, and drive compliance with industry regulations while leading a team of specialists. The ideal candidate is a person who thrives on process improvement, automation, and data-driven decision-making.
As the DME Program Specialist your responsibilities will include, but are not limited to:
- Develop and implement strategic initiatives to optimize DME eligibility verification, claims processing, and revenue cycle management.
- Ensure all payor guidelines are met, leveraging technology and automation to streamline billing processes.
- Oversee the daily submission of claims to Medicaid, Medicare, and secondary insurers, ensuring accuracy and compliance.
- Enhance workflows for submitting required documentation to expedite claims processing.
- Handle denials, appeals, and rejected claims while implementing proactive resolution strategies.
- Monitor financial performance by tracking patient copays, deductibles, and out-of-pocket expenses.
- Oversee the collection, posting, and reconciliation of all insurance payments.
- Drive AR follow-up and collections strategies, leveraging data analytics to optimize recovery.
- Ensure the continuous improvement of standard work policies to align with evolving payor requirements.
- Coordinate and manage audits, implementing best practices for documentation and reporting.
Benefits may include:
- Paid training & career advancement opportunities
- Generous Paid Time Off that pools vacation, sick & holiday pay in a single bucket for flexible use
- Medical/Dental/Vision insurance
- 401K With Employer Match
- Employee Cell Phone Discount
- Employee Assistance Program: with free access to counseling & support services
- Extensive experience in DME billing and program management.
- Comprehensive knowledge of DME services, including incontinence, oral nutrition, diabetic supplies, and inhalation therapy. Flu/Covid Vaccine billing is a plus.
- Strong familiarity with Medicare, Medicaid, and Managed Care plans.
- Proficiency in DME billing software, Noridian/WPS websites, and other industry-specific tools.
- Proven ability to analyze data, optimize billing processes, and drive continuous improvements.
- Excellent leadership, communication, and strategic thinking skills.
- Ability to foster a high-performing team in a fast-paced, technology-driven environment.
- A results-oriented mindset with a commitment to operational excellence.
“Be here. Be you.”
For more than 30 years, Marquis Companies and Consonus Healthcare have been serving seniors and welcoming staff of all backgrounds, skills, and perspectives. The Marquis family of companies offer a rich heritage of embracing differences and honoring individuality. We’ve continued to grow in our appreciation of diversity in the workplace. We know it builds strength, drives innovation, and brings valuable new perspectives and energy.
We’re committed to making our workforce an even greater reflection of the people and communities we serve, and we are honored our employees have chosen to work at Marquis and Consonus. Everything we do as a company is driven by our mission to help those we serve, and each other, live the best rest of our lives.
That means you being you – without apology or compromise. We value your every uniqueness and continue to curate, nurture, and sustain an inclusive culture. It’s the foundation of who we are and the evolution of our collective future.
For more than 30 years, Marquis Companies and Consonus Healthcare have been serving seniors and welcoming staff of all backgrounds, skills, and perspectives. The Marquis family of companies offer a rich heritage of embracing differences and honoring individuality. We’ve continued to grow in our appreciation of diversity in the workplace. We know it builds strength, drives innovation, and brings valuable new perspectives and energy.
We’re committed to making our workforce an even greater reflection of the people and communities we serve, and we are honored our employees have chosen to work at Marquis and Consonus. Everything we do as a company is driven by our mission to help those we serve, and each other, live the best rest of our lives.
That means you being you – without apology or compromise. We value your every uniqueness and continue to curate, nurture, and sustain an inclusive culture. It’s the foundation of who we are and the evolution of our collective future.
