Medicare Claims Specialist

Job Summary

A company is looking for a Medicare Claims Representative.

Key Responsibilities

• Process Medicare claims from receipt through resolution, ensuring compliance with policies and regulations
• Handle complex adjustments and resolve pending claim problems through communication with providers and internal departments
• Assist the claims department in meeting performance metrics and maintain up-to-date knowledge of regulations and coding standards

Required Qualifications

• High School Diploma or GED or equivalent experience
• 1 or more years of experience in hospital, clinic, and/or medical office billing
• 1 or more years of post-high school education or coursework in insurance or medical-related studies
• 1 or more years of experience in a position using computer, keyboarding, and customer communications
• Demonstrated proficiency in data entry with the ability to maintain focus and accuracy