Medicare Claims Specialist

Job Summary

A company is looking for a Medicare Specialist to manage and resolve medical claims for multiple hospital or physician groups.

Key Responsibilities

• Resolve aged, outstanding, and denied medical claims to ensure revenue generation
• Review Medicare claims and post adjustments using various systems
• Maintain accurate account notes and meet production criteria with a low error ratio

Qualifications and Requirements

• High School Diploma or GED; some college preferred
• 1-2 years of experience with traditional Medicare claims
• 1-2 years of experience using the DDE Direct Data Entry system
• Able to type 50 words per minute
• Experience with Health Information Systems is beneficial