Medicare Account Specialist

Job Summary

Managing and resolving Medicare claims, the full-time Medicare Account Resolution Specialist will ensure accurate processing of pending, denied, or incorrectly paid claims while working remotely.

Key responsibilities:

• Resolve Medicare claims by identifying issues, correcting errors, and ensuring claims are returned to payment status
• Analyze Medicare denials to determine accuracy and complete necessary appeals, adjustments, or resubmissions
• Maintain detailed documentation and workflow updates within billing systems to support claim progression and audits

Required qualifications:

• High School Diploma or equivalent required
• Strong computer skills with working knowledge of MS Outlook, Word, and Excel
• Ability to type a minimum of 40 WPM with accuracy
• Experience in a high-volume workload environment with call monitoring or performance metrics preferred
• Proven organizational and time management skills with the ability to prioritize tasks efficiently