Medicare Claims Specialist

Job Summary

Resolving outstanding balances through research and follow-ups, the full-time Medicare Claims Specialist will edit and maintain Medicare claims, monitor patient accounts, and ensure compliance with Medicare regulations while working remotely from the US.

Key responsibilities

• Edit and perform maintenance on Medicare claims
• Follow up on billed claims in a timely and effective manner
• Monitor patient accounts for accurate payment and pursue reimbursement through compliant actions

Required qualifications

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