Medicare Specialist

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

📋 Description

• Accurately prepare and submit Medicare claims for patient services.

• Employ DDE, CWF, and additional tools to monitor and follow up on unpaid Medicare claims.

• Assess patient accounts and align payments with Medicare remittance advice.

• Engage with patients regarding their Medicare coverage and address billing inquiries.

• Investigate and resolve issues pertaining to denied or underpaid Medicare claims.

• Prepare and submit appeals for claims that have been denied.

• Track and analyze aging reports for overdue Medicare accounts.

• Ensure compliance of all billing and collection practices with Medicare regulations.

• Maintain precise records of all Medicare claims, payments, and communications.

⛳️ Requirements

• 3-5 years of experience in hospital Business Office billing and follow-up as a Medicare representative.

• Familiarity with Payer portals, DDE, and client systems.

• Comprehensive understanding of Medicare billing codes, guidelines, and regulations.

• Preferred knowledge of Medical Terminology, ICD-10, CPT, and DRG.

• High school diploma or equivalent is required.

🏝️ Benefits

• Fully remote work environment.

• Reliable internet connection.

• A dedicated workspace that is free from distractions.

• Access to essential office equipment.

• Daily communication with team members and management.