Medicare Specialist (Part A & Part B billing experience required)

CorroHealth; Texas; Remote; USD 42,000 - 52,000; Full time

Benefits offered by this job

Remote work

Job summary

CorroHealth, Inc. is seeking a Medical Reimbursement Specialist to work remotely from the United States. You will resolve outstanding Medicare balances through research, follow-ups and appeals, while adhering to Medicare guidelines.

You will edit claims, follow up timely, monitor accounts, and pursue reimbursement for underpaid or unpaid claims, with experience in CPT/ICD-10 coding and insurance billing.

Qualifications

• High school diploma or GED required.
• At least 2 years experience resolving Medicare claims.
• Knowledge of Medicare/Medicaid payors.
• Familiarity with CPT and ICD-10 coding.
• Experience with insurance billing and medical terminology.

Responsibilities

• Edit and maintain Medicare claims.
• Follow up on billed claims in a timely manner.
• Monitor patient accounts for accurate payment.
• Edit rejected claims identified on RTP report.
• Research unpaid or underpaid claims.

Skills

Medicare claims

Insurance billing

Medical terminology

CPT/ICD-10 coding

Claims research

Education

High School Diploma or GED

Job description

About Us:Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.JOB SUMMARY:Medical Reimbursement Specialists work with insurance carriers and patients to resolve outstanding balances through research, follow ups and appeals.This is a REMOTE POSITION. Must live in the US.ESSENTIAL DUTIES AND RESPONSIBILITIES:Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Edit and perform maintenance on Medicare claims.Follow-up on billed claims in a timely and effective manner.Maintain knowledge of current Medicare regulations and guidelines.Monitor patient accounts for accurate payment.Pursue account reimbursement through compliant action.Edit rejected claims in DDE which are identified on RTP report.Review patient bills for accuracy and completeness and obtaining any missing information.Utilization and adherence to Medicare guidelines.Other duties as assigned.This is a REMOTE POSITION. Must live in the US.MINIMUM QUALIFICATIONS & REQUIREMENTS:High School Diploma or GED equivalentTwo years (2) experience resolving medical Medicare claimsKnowledge of Medicare and/or Medicaid payorsFamiliarity with CPT and ICD-10 coding preferredKnowledge of insurance billing and medical terminology preferredFamiliarity with electronic and paper systems used in billing healthcare servicesAbility to research unpaid or underpaid claims for resolutionPHYSICAL DEMANDS:Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.