Medicare Claims Specialist

Job Summary

Resolving aged and denied medical claims, the full-time Medicare Claims Specialist will manage Medicare accounts for multiple hospital or physician groups remotely, utilizing the Medicare DDE system and various Part B websites to ensure timely revenue generation.

Key responsibilities

• Resolve cash-generating accounts and review Medicare claims to determine status
• Post adjustments on facility systems and work on denials and appeals efficiently
• Maintain accurate account notes and meet production criteria with minimal error ratios

Required qualifications

• High School Diploma or GED; some college preferred
• 1-2 years of experience working with traditional Medicare claims
• 1-2 years of experience using the DDE Direct Data Entry system
• Ability to type 50 words per minute
• Familiarity with Health Information Systems such as Epic, Meditech, or Cerner is beneficial