Remote Medicare Collections Specialist

Job Summary

To support quality healthcare services, the full-time Remote Medicare Collections Specialist will process, review, and verify reimbursement claims while ensuring compliance with payer guidelines and maintaining productivity standards.

Key responsibilities

• Processes and verifies reimbursement claims for accuracy and compliance with regulatory requirements
• Reviews and resolves claim discrepancies, taking appropriate actions for incorrect payments or denials
• Collaborates with revenue cycle teams to investigate claim denials and appeal decisions as necessary

Required qualifications

• H.S. Diploma or GED required; Associate Degree or relevant coursework preferred
• 0-1 years of experience in medical billing, reimbursement, or claims processing required
• Familiarity with payer reimbursement policies and healthcare revenue cycle operations preferred