Healthcare Billing Specialist

Job Summary

Working remotely, the full-time Healthcare Billing Recovery Case Specialist I will manage delinquent accounts under the CMS Medicare Secondary Payer recovery program, utilizing expertise in medical billing and coding to verify payment liabilities and resolve billing issues.

Key responsibilities

• Review account claims and documentation to verify payment liability for Medicare claims
• Build case files and communicate with relevant parties to initiate appropriate actions for payment recovery
• Update client and company systems with accurate account information and follow up on claims activities

Required qualifications

• Minimum 6 months of medical billing experience, including Medicare
• Minimum 2 years of experience in customer service, billing reclamation, or recovery roles
• High School diploma or GED is required
• Knowledge of medical claim billing procedures and familiarity with forms UB04 and CMS 1500
• Proven ability to interpret Explanation of Benefits (EOB) to resolve billing issues