Medicare Claims Specialist

Job Summary

A company is looking for a Medicare Specialist to assist in resolving aged, outstanding, and denied medical claims.

Key Responsibilities

• Resolve cash generating accounts to bring in revenue
• Review Medicare claims to determine status and post adjustments
• Work on denials and appeals in a timely manner

Qualifications and Requirements

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