Medicare Claims Specialist
Work Hours: M-F, 8a-5p
Responsible for billing and resolving Medicare and Medicare Advantage payer claims for a variety of hospital services. Ensures all paper and electronic claims are submitted in a timely and accurate manner in compliance with all payer regulations. This Representative must be able to multi-task, perform all billing/rejection/denial analysis, prioritize as necessary to timely resolve accounts for payment, and responsible for ensuring accurate statements for Medicare patients. In addition to keep apprised of Medicare rules and regulations, Representatives must demonstrate proficient use of Medicare FISS/DDE and payer portals along with notation databases. This position requires the use of several software systems, the ability to problem solve, and be detail-oriented.