Medicare Billing & Reimbursement Specialist (On-Site)

Sarasota Memorial Health Care System; Sarasota (FL); On-site; USD 50,000 - 60,000; Full time

Job summary

Sarasota Memorial Health Care System is seeking a dedicated professional to join the Patient Financial Services team as a Medicare billing specialist. The role focuses on billing collection functions for Medicare receivables, processing electronic claims, and ensuring timely reimbursements.

You will solve RTP/denied claims and support the electronic Medicare billing system. The position is full time, Monday–Friday, 40 hours with a flexible start time between 7am and 9am; on site at the Support

Qualifications

• Minimum of four (4) years of Patient Financial Services experience, two (2) in Medicare billing and collections.
• An Associate's degree or higher can be considered in lieu of the Medicare billing and collections experience requirement.
• Preferred two (2) years of experience with Windows-based software applications.
• Preferred CPAT or CRCS certification.

Responsibilities

• Perform billing collection functions for Medicare account receivables to maximize cash flow.
• Review and process electronic claims; analyze and correct claims to ensure timely reimbursement.
• Solve RTP and denied claims; maintain electronic Medicare billing system.
• Coordinate and update CM and DDE billing updates, billing tables and system edits.
• Run job streams, generate and evaluate electronic Medicare billing reports.
• Educate and train staff in electronic claims submissions.
• Stay current on Medicare billing regulations and compliance issues.
• Respond to incoming calls and walk-in patients.

Skills

Medicare billing

Accounts receivable

Customer service

Education

Associate degree or higher

Tools

AccessANYware

SSI

DDE

Job description

Sarasota Memorial Health Care System is seeking a dedicated professional to join the Patient Financial Services team as a Medicare billing specialist. The role focuses on billing collection functions for Medicare receivables, processing electronic claims, and ensuring timely reimbursements.

You will solve RTP/denied claims and support the electronic Medicare billing system. The position is full time, Monday–Friday, 40 hours with a flexible start time between 7am and 9am; on site at the Support