Remote Medicare Claims Specialist

Elevate Patient Financial Solutions®; United States; Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, Dental & Vision Insurance

401K (100% match for the first 3% & 50

% match for the next 2%)

15 days of PTO

7 paid Holidays

2 Floating holidays

1 Elevate Day (floating holiday)

Pet Insurance

Employee referral bonus program

Teamwork: We believe in teamwork and '

having fun together

Career Growth: Gain great experience

Job summary

Elevate Patient Financial Solutions is seeking a Medicare Specialist for a fully remote, full-time role in the United States. You will resolve aged, outstanding, and denied Medicare claims using DDE and CMS tools, supporting hospital and physician group accounts.

The ideal candidate has 1–2 years of Medicare claims experience, proficiency with DDE, and familiarity with ICD-9/10, CPT, and HIQA. Strong typing, organizational, and teamwork skills are essential. Benefits and stability are offered.

Qualifications

• High School Diploma or GED is required.
• 1–2 years of experience with traditional Medicare claims.
• 1–2 years of experience using the DDE Direct Data Entry system.
• Typing speed of 50 words per minute or faster.
• Ability to work independently and in a team environment.
• Familiarity with CMS.gov and Medicare-related websites.
• Experience with health information systems (Epic, Meditech, Cerner, etc.) is a plus.

Responsibilities

• Resolve cash generating accounts to bring in revenue for the client and company.
• Review Medicare claims to determine status (UB/HCFA).
• Post adjustments in facility systems.
• Handle denials and appeals in a timely manner.
• Billing electronic claims experience.
• Aim to resolve claims on first touch.
• Navigate CMS.gov and intermediary websites.
• Understand ICD-9/10, CPT, revenue codes, HCPCS and modifiers.
• Work in Medicare DDE/FISS system: check status, code, enter/correct/cancel claims; rekey claims; correct RTP; interpret eligibility (CWF/HIQA).
• Maintain comprehensive account notes and ask clarifying questions.
• Use correct reason and status codes, and request needed information.
• Maintain production standards and ≤5% error ratio; attend regularly.

Skills

Typing 50 wpm

Team oriented

Organizational skills

Time management

Independent worker

Education

High School Diploma or GED

Some college preferred or college degree

Tools

DDE Direct Data Entry

Medicare CMS websites

CWF/HIQA

DDE/FISS

Connex

C-Snap

Job description

Elevate Patient Financial Solutions is seeking a Medicare Specialist for a fully remote, full-time role in the United States. You will resolve aged, outstanding, and denied Medicare claims using DDE and CMS tools, supporting hospital and physician group accounts.

The ideal candidate has 1–2 years of Medicare claims experience, proficiency with DDE, and familiarity with ICD-9/10, CPT, and HIQA. Strong typing, organizational, and teamwork skills are essential. Benefits and stability are offered.