Medicare Billing Specialist

Job Summary

To support efficient revenue cycle operations, the full-time remote Medicare Billing Specialist will manage accounts receivable processes, including payment posting, adjustments, and follow-up on outstanding receivables while identifying opportunities for process improvements.

Key responsibilities

• Process accounts receivable payments and adjustments, and follow up on outstanding/aged receivables
• Research and resolve AR discrepancies promptly while maintaining organized AR documentation
• Prepare and submit appeals and reconsiderations to health plans, managing RTP and denied claims effectively

Required qualifications

• 5 years of experience in hospital and physician claims follow-up and denials management
• 3 years of Medicare billing or Medicare follow-up experience
• Proficiency with hospital EMRs such as Cerner, Epic, McKesson, CPSI, and Meditech
• Experience with various billing systems like Waystar, SSI, Quadax, and Availity
• Strong proficiency in MS Excel and MS Outlook