Inpatient Medicare Collection Specialist

TaraVista Behavioral Health; Harvard (MA); On-site; USD 48,000 - 58,000; Full time

Benefits offered by this job

Medical, Dental, and Vision

401(k) match

Employer paid short-term disability

Generous Paid Time Off

Tuition Reimbursement

Job summary

TaraVista Behavioral Health in Auburn, MA is seeking an Inpatient Medicare Collections Specialist to maximize reimbursement for Medicare inpatient accounts. The role involves monitoring Medicare claims, correcting errors, and communicating with contractors.

Applicants should have 1-3+ years in hospital billing or Medicare collections, strong analytical skills, and proficiency in Microsoft Office. The position offers full-time hours and a range of benefits, including medical, dental, and a 401(k) match.

Qualifications

• 1–3+ years of hospital billing or Medicare collections experience.
• Experience with Medicare DDE/FISS preferred.
• Knowledge of Medicare billing rules and IPPS.

Responsibilities

• Monitor Medicare DDE system for claim status updates.
• Correct claim errors, billing discrepancies, and coding issues.
• Investigate and resolve denied or under-paid Medicare claims.

Skills

Hospital billing experience

Medicare collections experience

Analytical skills

Detail-oriented

Proficiency in Microsoft Office

Job description

Career Opportunities with TaraVista Behavioral Health

A great place to work.

Careers At TaraVista Behavioral Health

Current job opportunities are posted here as they become available.

Join Us as Inpatient Medicare Collections Specialist!

Full Time 40 hours onsite in Auburn, MA

The Inpatient Medicare Collections Specialist is responsible for maximizing reimbursement and ensuring timely resolution of Medicare inpatient accounts receivable. This role focuses on Medicare fee‑for‑service claims, including high‑dollar hospital stays, by managing claim edits, resolving denials, and navigating the Medicare Direct Data Entry (DDE/FISS) system to secure accurate and timely payment.

Inpatient Medicare Collections Specialist Job Responsibilities

• Monitor Medicare DDE (FISS) system for claim status updates including edits, RTP, and suspended claims.
• Correct claim errors, billing discrepancies, and coding‑related issues.
• Investigate and resolve denied, zero‑pay, or under‑paid Medicare claims.
• Prepare and submit redetermination and reconsideration appeals.
• Work Medicare aging reports daily and prioritize high‑dollar accounts.
• Communicate with Medicare Administrative Contractors (MACs) to resolve claim issues.
• Coordinate patient responsibility and secondary billing.
• Ensure compliance with CMS regulations and proper documentation.
• Other Collections activity as assigned.

Inpatient Medicare Collections Specialist Qualifications

• 1–3+ years of hospital billing or Medicare collections experience.
• Inpatient psychosocial experience preferred.
• Experience with Medicare DDE/FISS preferred. Knowledge of Medicare billing rules and IPPS.
• Familiarity with Medicare Secondary Payer (MSP) rules.
• Strong analytical and detail‑oriented skills.
• Proficiency in billing systems and Microsoft Office.

When you join the growing TaraVista team, you’re not just taking a job, you’re making a difference in people’s lives. As our team member, you’ll receive:

• Medical, Dental, and Vision.
• 401(k) match.
• Employer paid short‑term disability (STD).
• Employer paid life and AD&D Insurance.
• Generous Paid Time Off.
• Flexible Spending Account.
• Tuition Reimbursement.

Pay Range

Compensation will be determined based on the candidate’s relevant experience.

$24.00 - $28.00

TaraVista is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.