Medicare Claims Specialist

Job Summary

Working remotely in a full-time capacity, the Medicare Claims Specialist will ensure timely and accurate submission and follow-up of claims across multiple payer types while providing support and guidance to team members.

Key responsibilities:

• Submits clean claims on the same day they are received and serves as a point of contact in the absence of management
• Resolves complex billing issues by coordinating with team members and other departments, ensuring timely follow-up on claims
• Documents all account activity professionally and accurately while maintaining departmental productivity and quality standards

Required qualifications:

• Associate Degree or equivalent experience (3 years in revenue cycle, finance, customer service, or data analytics)
• 3 years of relevant experience in the healthcare revenue cycle
• Knowledge of payer requirements and hospital billing processes
• Experience with EPIC for managing patient account information
• Ability to work effectively in a remote environment while maintaining productivity and accuracy