Medicare Billing Appeal Specialist

Job Summary

Reviewing and resolving incorrectly processed Medicare claims, the full-time Medicare Billing Appeal Specialist will work remotely to determine appropriate actions and document necessary data for timely resolution.

Key responsibilities

• Process remittance advice notices from Medicare claims to determine next actions
• Obtain and document necessary data to resolve incorrectly processed or denied claims efficiently
• Analyze work processes to maximize efficiency and achieve team and departmental goals

Required qualifications

• Minimum three (3) years' experience in a healthcare/revenue cycle billing environment
• Above average knowledge of Medicare and/or Medicare Replacement billing guidelines
• Ability to read and decipher explanations of benefits and remittance advice notices
• Minimum of one (1) year working in a call center environment
• Fluency in English with professional written and verbal communication skills