Medicare Billing Specialist

Job Summary

Managing the billing and collection processes for Medicare patients, the full-time Medicare Billing Specialist will ensure compliance with Medicare policies, process claims, and address patient inquiries while working remotely.

Key responsibilities:

• Prepare and submit accurate Medicare claims, ensuring compliance with guidelines and resolving unpaid or denied claims
• Review patient accounts, reconcile payments, and communicate with patients regarding their Medicare coverage and billing questions
• Investigate and resolve issues related to denied or underpaid claims, including preparing and submitting appeals to Medicare

Required qualifications:

• 3-5 years of hospital Business Office billing and follow-up experience as a Medicare representative
• Experience utilizing Payer portals, DDE, and client systems
• Knowledge of medical terminology, ICD-10, CPT, and DRG preferred
• High school diploma or equivalent
• Familiarity with electronic health record (EHR) systems and billing software