Medicare Claims Specialist

Job Summary

Working remotely on a full-time basis, the Medicare Claims Specialist will manage Medicare and Medicaid claims, resolve outstanding balances through research and follow-ups, and ensure compliance with current regulations.

Key responsibilities

• Edit and maintain Medicare claims while following up on billed claims promptly
• Monitor patient accounts for accurate payment and pursue reimbursement through compliant actions
• Review patient bills for accuracy and completeness, obtaining any necessary missing information

Required qualifications

• 4+ years of experience resolving medical Medicare claims with expert Epic experience
• High School Diploma or GED equivalent
• Knowledge of Medicare and/or Medicaid payors
• Familiarity with CPT and ICD-10 coding preferred
• Knowledge of insurance billing and medical terminology preferred