Medicare Claims Specialist

Job Summary

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

Key responsibilities

• Resolve cash generating accounts and manage the status of Medicare claims (UB/HCFA)
• Post adjustments on facility systems and work on denials and appeals promptly
• Maintain accurate account notes and meet minimum production criteria with a low error ratio

Required qualifications

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