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 relevant websites to ensure timely revenue generation.

Key responsibilities

• Resolve cash-generating accounts efficiently to enhance client revenue
• Review and analyze Medicare claims status and process adjustments as needed
• Work on denials and appeals promptly while maintaining accurate account notes

Required qualifications

• High School Diploma or GED; some college preferred
• 1-2 years of experience with traditional Medicare claims and the DDE system
• Typing speed of at least 50 words per minute
• Familiarity with Health Information Systems such as Epic, Meditech, or Cerner is beneficial
• Strong organizational and time-management skills