Medicare Specialist

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

📋 Description

• Edit and maintain Medicare claims effectively.

• Conduct timely follow-ups on billed claims.

• Stay updated on current Medicare regulations and guidelines.

• Monitor patient accounts to ensure accurate payment.

• Seek reimbursement for accounts through compliant actions.

• Edit denied claims in DDE as indicated on the RTP report.

• Review patient bills for accuracy and completeness, securing any missing information.

• Utilize and adhere to Medicare guidelines.

• Perform additional duties as assigned.

⛳️ Requirements

• High School Diploma or GED equivalent is required.

• A minimum of two (2) years of experience in resolving medical Medicare claims.

• Familiarity with Medicare and/or Medicaid payors is essential.

• Preferred knowledge of CPT and ICD-10 coding.

• Understanding of insurance billing and medical terminology is preferred.

• Experience with electronic and paper systems used in billing healthcare services.

• Ability to research unpaid or underpaid claims for resolution.

🏝️ Benefits

• We aim to foster an environment that encourages your professional development and personal growth.

• Opportunities for long-term careers through investment in YOU.

• Cutting-edge technology that allows analytics to drive our solutions.