Medicare Account Resolution Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee and resolve Medicare claims post-submission to guarantee precise and prompt processing.

• Address Medicare claims that are pending, cannot be released, denied, or inaccurately paid.

• Examine and resolve claims placed on hold by identifying the cause of the hold and rectifying errors.

• Assess Medicare denials to confirm accuracy and complete appeals, adjustments, or resubmissions as necessary.

• Supply Medicare with any supplementary documentation required for accurate claim adjudication.

• Prepare, manage, and monitor correspondence such as letters, emails, supporting documents, and necessary refunds.

• Maintain comprehensive and precise notes, documentation, and workflow updates within billing systems.

⛳️ Requirements

• High School Diploma or equivalent is mandatory.

• Proficient computer skills, including a working knowledge of MS Outlook, Word, and Excel.

• Capability to type at least 40 WPM with accuracy.

• Demonstrated ability to manage high-volume workloads, prioritize tasks effectively, and meet tight deadlines.

• Experience in a setting with call monitoring, productivity metrics, or performance scoring is preferred.

• Ability to stay calm, professional, and effective during phone interactions while upholding a positive company image.

• Exceptional written and verbal communication skills, with the capability to clearly and professionally explain information.

• Strong attention to detail with high accuracy in claim review and documentation.

• Excellent organizational and time management skills, with the ability to prioritize work and efficiently complete assigned tasks.

• Capability to independently manage all aspects of the job role, including required goals and business practices in a remote environment.

🏝️ Benefits

• Competitive salary, reflective of experience.

• Comprehensive benefits package, including a 401(k) Plan.

• Equal Opportunity Employer.