Sr. Revenue Cycle Specialist: Medicare Collections

Tranzeal Incorporated; United States; Remote; USD 65,000 - 75,000; Full time

Job summary

A leading company is seeking a Sr. Revenue Cycle Specialist to enhance their Medicare collections team. The role is primarily remote, focusing on claim processing and payment reconciliation with an emphasis on achieving efficiencies. Candidates should have significant Medicare experience and the ability to analyze issues critically. This opportunity offers a competitive salary package and is a chance to make impactful contributions in a fast-paced environment.

Qualifications

• 3+ years of Medicare experience required.
• Proven experience in insurance collections is essential.
• Background in healthcare and collections/denial remediation preferred.

Responsibilities

• Primary focus on claim work and payment reconciliation.
• Research and resolve outstanding accounts and request adjustments on claims.
• Drive process efficiencies and conduct root cause analysis.

Skills

Medicare Collections

Problem Solving

Communication

Education

High school Diploma or equivalent

Associates or Bachelor's degree

Tools

Microsoft Excel

Microsoft PowerPoint

Microsoft Outlook

Job description

Direct message the job poster from Tranzeal Incorporated

HR Specialist at Tranzeal | PHR | MBA | Talent Acquisition | Employee Engagement | Strategy | Benefits | Compliance | Operations | Human Right

Job Title: Sr. Revenue Cycle Specialist: Medicare Collections

Location: Fully Remote

Top Skills: Medicare Collections, Problem Solving, Communication

Mandate Skills:

· We are specifically seeking candidates with a strong background in insurance collections, particularly with Medicare collections experience.

· Candidates with billing and coding backgrounds will not be considered for these roles.

· The role will primarily focus on claim work, payment reconciliation, identifying trends, and operating effectively in a fast-paced environment.

· Strong problem-solving skills, the ability to perform root cause analysis, and a proactive approach to driving process efficiencies are essential.

· Specialists in this role will contact Medicare Administrative Contractors (MACs) to reconcile outstanding accounts receivable (debit balances), research and resolve problem accounts, and request adjustments or rebills on claims.

· 3+ years of Medicare Experience

· 2+ years of experience with generic accounting, transactions

· Healthcare and collections/denial remediation experience

· Intermediate computer proficiency in Microsoft Office tools including Excel, PowerPoint and Outlook

Education:

High school Diploma or equivalent

Associates or Bachelor's degree

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Information Technology

• Industries

  IT Services and IT Consulting

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