Medicare Appeals Specialist

Job Summary

Handling Medicare billing and follow-up activities, the full-time Revenue Cycle Specialist - Appeals will manage the preparation and submission of billings, respond to inquiries, and process denials while working remotely.

Key responsibilities

• Prepare and submit all billings and conduct follow-up activities related to Medicare
• Respond to inquiries from Medicare and manage all correspondence for appeals and fair hearings
• Review and advise on changes in Medicare regulations and ensure compliance with guidelines

Required qualifications

• Minimum of one year of medical billing experience, preferably with Medicare
• Experience with ambulance coding and appeals is highly preferred
• General working knowledge of PCs and patient accounting computer systems
• High school diploma or GED required; college courses in relevant fields preferred
• Proficiency in Microsoft Office Suite and experience with website navigation