Medicare Account Specialist

Job Summary

Managing and resolving Medicare claims remotely, the full-time Medicare Account Resolution Specialist will ensure accurate and timely processing of claims, analyze denials, and maintain detailed documentation in a fast-paced billing environment.

Key responsibilities:

• Work on pending, denied, or incorrectly paid Medicare claims to resolve issues and return them to payment status
• Review and correct errors on claims placed on hold, completing necessary follow-up actions
• Analyze Medicare denials to determine accuracy and complete appeals or resubmissions as needed

Required qualifications:

• High School Diploma or equivalent required
• Strong computer skills, including proficiency in MS Outlook, Word, and Excel
• Ability to type at least 40 WPM with accuracy
• Experience in a high-volume workload environment with call monitoring or performance metrics preferred
• Strong organizational and time management skills to prioritize tasks efficiently