Medicare Billing Specialist

System One; Town of Texas (WI); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company is seeking a detail-oriented Medicare Billing Specialist for a remote role. You will ensure the accuracy of Medicare claims and resolve any issues. This full-time position offers a dynamic work environment, focusing on critical thinking and effective communication skills.

Qualifications

• High school diploma or GED required.
• Proficiency in Microsoft Office tools.
• Excellent written and verbal communication skills.

Responsibilities

• Research and resolve unpaid or underpaid Medicare claims.
• Document actions taken on claims with detailed communication.
• Maintain confidentiality in accordance with HIPAA regulations.

Skills

Problem solving

Communication

Critical thinking

Organization

Education

High school diploma or equivalent (GED)

Tools

Microsoft Office

Job description

Medicare Billing Specialist
Remote

Contract: 6 months
Compensation: $22 hourly
Contractor Work Model: Remote
Hours: Full time, Monday- Friday 8 am – 4:30 pm MST (30 minute clocked out lunch)

System One is seeking a detail-oriented and proactive Medicare Patient Accounts Specialist to join our dynamic team. In this role, you will play a crucial part in ensuring the accuracy and efficiency of our Medicare claims processing. Your expertise will help us resolve unpaid or underpaid system debit balances, contributing to the overall success of our organization.

Responsibilities:

• Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on Medicare insurance claims; Actions include but are not limited to remit and EOB review, calling payer(s) and clinics, rebilling claims, navigating payer portals, and taking adjustments in the billing system
• Uses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayments and follow appropriate documented policy and procedure to remediate
• Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of Medicare claims
• Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims
• Stay current on communication relating to healthcare reimbursement and regulatory changes
• Develop and maintain positive working relationships with clinical personnel, teammates, and payer representatives
• Works well under pressure in a fast-paced environment, meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and company policies
• Consistent and punctual attendance as scheduled is an essential responsibility of this position
  

Qualifications:

• High school diploma or equivalent (GED)
• Proficiency in Microsoft office tools such as Outlook, Word, PowerPoint, Excel, and OneNote
• Excellent and demonstrated written and verbal communication skills
• Computer competency; typing, basic computer troubleshooting, and navigation
• Ability to problem solve and critically think root cause analysis

Preferred Qualifications:

• Healthcare experience; insurance or revenue cycle is a plus!
• Insurance claim collections experience

#M1
#LI-EB1

Ref: #270-IT Orlando