Medicare Claims Specialist I

Southeast Health; Dothan (AL); On-site; USD 38,000 - 52,000; Full time

Job summary

Southeast Health in Dothan, AL, is seeking an Accounts Receivable/Billing Specialist to manage claims filing and follow-up, input payments, and resolve denials in a timely manner. You will work with Medicare and payer portals to achieve full resolution and maintain AR performance.

The role requires basic coding knowledge, strong computer skills, and ability to collaborate with clinical staff to ensure accurate charges and compliant billing practices. Equal opportunity employer.

Qualifications

• High school diploma or equivalent.
• AAPC CPC certification preferred.
• Working knowledge of computers.
• One year of revenue cycle experience; CPT/ICD-10 familiarity.

Responsibilities

• Works as part of a multi-disciplinary team to provide answers to inquiries and questions.
• Troubleshoot problems and provide information.
• Handle intervention or referrals with a professional and respectful customer service focus telephonically and/or in person.
• Provides a variety of support services in connection to the day-to-day operations in a health care environment.
• Maintains working knowledge of regulatory guidelines for billing.
• Ability to verify and load insurance coverages correctly for accurate billing.
• Provides claim submission for services provided at SEH.
• Work and resolve claim edits and errors daily.
• Provides follow up on claims which did not process correctly.
• Provides follow up with insurance companies or individuals to obtain accurate reimbursement.

Skills

Communication skills

Customer service

Teamwork

Education

High school diploma or equivalent

AAPC CPC certification

Tools

Medicare DDE system

Job description

Southeast Health in Dothan, AL, is seeking an Accounts Receivable/Billing Specialist to manage claims filing and follow-up, input payments, and resolve denials in a timely manner. You will work with Medicare and payer portals to achieve full resolution and maintain AR performance.

The role requires basic coding knowledge, strong computer skills, and ability to collaborate with clinical staff to ensure accurate charges and compliant billing practices. Equal opportunity employer.