Medicare Claims Specialist

A company is looking for a Medicare Specialist to manage and resolve aged medical claims for hospital or physician groups.

Key Responsibilities

Resolve cash generating accounts and review Medicare claims for status

Post adjustments on facility systems and work on denials and appeals

Maintain production criteria and ensure accurate account documentation

Qualifications and Requirements

High School Diploma or GED; some college preferred

1-2 years of experience with traditional Medicare claims

1-2 years of experience with DDE Direct Data Entry system

Able to type 50 wpm

Familiarity with Health Information Systems is beneficial