Remote Medicare Claims Specialist

CorroHealth Inc; United States; Remote; USD 40,000 - 60,000; Full time

Job summary

CorroHealth Inc. in the United States is seeking a Medical Reimbursement Specialist to resolve outstanding balances with insurance carriers and patients through research, follow-ups, and appeals. This is a remote role, and you must reside in the US.

The position focuses on Medicare claims, timely follow-ups, and accurate billing knowledge. You will edit and pursue reimbursements while staying current with Medicare guidelines and payer requirements.

Qualifications

• High school diploma or GED required.
• 2 years of experience resolving Medicare claims.
• Knowledge of Medicare and/or Medicaid payors.
• Familiarity with CPT and ICD-10 coding preferred.
• Knowledge of insurance billing and medical terminology preferred.
• Familiarity with electronic and paper billing systems.
• Ability to research unpaid or underpaid claims for resolution.

Responsibilities

• Edit and maintain 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 identified on RTP report.
• Review patient bills for accuracy and missing information.
• Utilization and adherence to Medicare guidelines.
• Other duties as assigned.

Skills

Medicare claims

Medicare payors

CPT ICD-10 coding

Insurance billing

Medical terminology

Electronic systems

Research unpaid claims

Education

High school diploma or GED

Job description

CorroHealth Inc. in the United States is seeking a Medical Reimbursement Specialist to resolve outstanding balances with insurance carriers and patients through research, follow-ups, and appeals. This is a remote role, and you must reside in the US.

The position focuses on Medicare claims, timely follow-ups, and accurate billing knowledge. You will edit and pursue reimbursements while staying current with Medicare guidelines and payer requirements.