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.

Key responsibilities:

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

Required qualifications:

• Minimum of 3 years of experience in hospital and physician claims follow-up and denials management
• Proven experience with hospital inpatient, outpatient, and Medicare billing processes
• Proficiency with hospital EMRs such as Cerner, Epic, and various billing systems like Waystar and Availity
• Strong understanding of Medicare billing regulations and the Medicare DDE system
• Proficiency in MS Excel and MS Outlook