Medicare Payments & Disputes Specialist

EXAMWORKS COMPLIANCE SOLUTIONS LLC; Lawrenceville (GA); Presencial; USD 40.000 - 60.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, Vision, Dental insurance

Paid time off

401k

Descripción de la vacante

ExamWorks Compliance Solutions LLC is seeking a Conditional Payment Specialist in Georgia to monitor and track conditional payments on letters, notices, and demands. You will determine whether disputes or appeals are warranted and coordinate with Medicare and contractors to obtain documentation.

You will triage correspondence, maintain meticulous notes, and support Medicare Advantage, Medicaid, and Treasury related services.

Formación

• Associate’s Degree or equivalent practical experience is required.
• 1–3 years of administrative or clerical experience.
• Excellent written and verbal communication, with strong English grammar and business terminology.
• Proficient with Microsoft Word, Excel, Outlook and online research tools.

Responsabilidades

• Review new referrals and align on project goals with clients or Account Executives.
• Perform Medicare eligibility inquiries and follow up with Medicare contractors to track statuses.
• Review, evaluate and prioritize incoming conditional payment letters and notices.
• Maintain meticulous notes, emails, and client correspondence in the system.

Conocimientos

Written communication

Verbal communication

Analytical thinking

Multitasking

Discretion

Educación

Associate’s Degree or equivalent practical experience

Herramientas

Microsoft Word

Microsoft Excel

Outlook

Descripción del empleo

ExamWorks Compliance Solutions LLC is seeking a Conditional Payment Specialist in Georgia to monitor and track conditional payments on letters, notices, and demands. You will determine whether disputes or appeals are warranted and coordinate with Medicare and contractors to obtain documentation.

You will triage correspondence, maintain meticulous notes, and support Medicare Advantage, Medicaid, and Treasury related services.