Remote Medicare Appeals Specialist

Global Medical Response; Greenwood Village (CO); Remote; USD 28,000 - 30,000; Full time

Job summary

Global Medical Response seeks a Revenue Cycle Specialist - Appeals to manage Medicare billing and follow-up remotely within the United States. This full-time, non-exempt position focuses on timely billings, responsive inquiries, and efficient appeals processing, while ensuring compliance with government regulations and internal policies.

Required is Medicare billing experience, familiarity with HCPCS/ICD-9/10, and strong proficiency in Office tools.

Qualifications

• Minimum of one year prior office work experience.
• Minimum of one year medical billing experience.
• Experience with ambulance coding and appeals is highly preferred.
• Knowledge of HCPCS is preferred.
• Prior Medicare billing, follow-up and terminology experience preferred.
• Experience with Medicare/Medicaid/HMO/PPO appeals process preferred.
• General PC and patient accounting systems knowledge required.
• Proficiency in Word, Excel, Adobe and Smartsheets.
• Website navigation experience required.
• Must type at least 45 wpm and use a ten-key calculator by touch.
• Knowledge of ICD-9 and 10 coding required.
• Able to work under tight deadlines and handle high volumes.
• Ability to work cooperatively in a team.

Responsibilities

• Prepare and submit billings promptly.
• Respond to Medicare inquiries by phone and mail.
• Perform follow-up activities including appeals and hearings.
• Process denials to maximize benefits.
• Adhere to company policies and procedures.
• Ensure customer problems are handled promptly.
• Review assigned queues daily.
• Inform Medicare Supervisor of regulatory changes and issues.
• Input claim data daily.
• Balance journals periodically.
• Ensure compliance with government and corporate policies.
• Pass QA audits with ≥95% accuracy.

Skills

Medicare billing knowledge

Medicare terminology

Typing 45 wpm

Ten-key calculator by touch

Ability to work under time constraints

Teamwork

Website navigation

Education

High school diploma or GED required

College courses in psychology, communications, business, and/or health services preferred

Tools

Smartsheets

Adobe

Microsoft Office Suite

Excel

Job description

Global Medical Response seeks a Revenue Cycle Specialist - Appeals to manage Medicare billing and follow-up remotely within the United States. This full-time, non-exempt position focuses on timely billings, responsive inquiries, and efficient appeals processing, while ensuring compliance with government regulations and internal policies.

Required is Medicare billing experience, familiarity with HCPCS/ICD-9/10, and strong proficiency in Office tools.