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Medicare Billing Specialist Jobs

Medicare Specialist (Remote) Jobs
By Sedgwick At Oregon, United States
Thorough knowledge of claims management
Compiles, reviews and analyzes claim files and/or management reports.
Maintains thorough understanding of service and products offered by Medicare Compliance department.
Excellent oral and written communication, including persuasive writing skills
Strong analytical and interpretive skills
Requests rated-ages; tracks files/requests/submissions through Centers for Medicare and Medicaid Services (CMS) processes; and creates documentation as required.
Medicare Set Aside Specialist
By Sanderson Firm PLLC At Florida, United States
·Strong interpersonal, time management and organizational skills.
·Effective multi-tasking skills in a high-volume environment.
·Excellent written and verbal communication skills.
·Certification as a MSCC, CMSP, CLCP or CNLCP, preferred.
·Understand and apply evidence based medical treatment guidelines, and/or CMS guidelines to future care recommendations.
·Identify and outline Medicare and Non-Medicare covered treatment.
Billing Specialist (Medicare Hmo)
By Acadian Companies At Lafayette, LA, United States
Excellent interpersonal skills and time management
Other duties and responsibilities as assigned
Qualifications:** - High school diploma or equivalent
Previous medical billing experience preferred
Essential Functions:** - Responsible for claim status checks as needed to ensure proper resolution
Initiating contact with insurance providers as needed
Specialist, Medicare Member Engagement (2021610)
By Molina Healthcare At United States
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Participates in regular member benefits training with health plan, including the member advocate/engagement role.
2 years experience in customer service, consumer advocacy, and/or health care systems.
Experience conducting intake, interviews, and/or research of consumer or provider issues.
Basic understanding of managed healthcare systems and Medicare.
Log all contacts in a database.
Remote Medicare Billing Specialist
By Aspirion Health Resources LLC At , Remote $16.11 - $22.00 an hour
Cross train in multiple areas and perform all other duties as assigned by management.
Time management and reliable attendance
Bachelor's degree preferred, or equivalent combination of education, training, and experience
Investigate and coordinate insurance benefits for insurance claims across multiple service lines.
Review and understand eligibility of benefits.
Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility.
Medicare Enrollment Specialist Jobs
By VNS Health At , Manhattan, Ny $68,200 - $85,200 a year
Experience marketing to a culturally diverse target population required
Excellent verbal and written communication skills, including the ability to speak in front of large groups required
Coordinates home nursing assessment visits, when appropriate, to ensure successful enrollment into the program.
Educates VNS Health Plans MA and/or MLTC members on MAP and conducts telephonic enrollments into the product.
Performs retention efforts developed by VNS Health leadership to reduce member turnover.
Educates consumers who contact VNS Health Plans via website about VNS Health Plans Medicare products.
Medicare Enrollment Specialist - Remote
By ASK Consulting At ,
Ability to pass licensing exam and Carrier certifications annually and maintain good standing
Actively manage all assigned appointments to ensure all retirees needs are met on a timely basis
Deliver a consistently positive customer experience in a highly ethical and professional manner
Expiry Date: 04 September 2023
Meet and/or exceed monthly sales goals and service levels
Handle inbound service calls by providing accurate and complete information via researching/selling/locating licensed agent
Medicare/Acd Specialist (Rn) - Remote
By Acentra Health At Nashville, TN, United States
Do you value care management and quality improvement?
Knowledge of CMS medical necessity guidelines and benefit coverage criteria strongly preferred.
Are you an experienced Clinical Reviewer looking for a new challenge?
Maintain current knowledge of CMS regulations, guidance documents, and transmittals
Review monthly CPT code report and make suggestions based on the data; review with the Manager prior to meetings
Perform ongoing assessment and maintenance of codes within the ACD and update as appropriate, in collaboration with manager and client
Medicare Risk Adjustment Coding Specialist
By American Health Plans Inc. At Nashville Metropolitan Area, United States
• Escalate appropriate coding audit issues to management as required
• Strong organizational skills; ability to time manage effectively
o 2 years’ experience in managed healthcare environment related to claims and/or coding audits
o Significant HCC experience (including knowledge of HCC mapping and hierarchy)
• Knowledgeable of coding/auditing claims for Medicare and Medicaid plans
• Extensive knowledge of ICD-9 & ICD-10 diagnostic coding and auditing
Appeals Specialist (Medicare Part B) - Palmetto Gba
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Experience working with Medicare Part B
Prior medical office or insurance experience strongly preferred.
Our Comprehensive Benefits Package Includes
Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy.
Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools.
Updates letters and documents within the department when necessary.
Medicaid / Medicare Billing & Ar Specialist - Skilled Nursing Facility
By Stephenson Nursing Center At , Freeport, 61032, Il $55,000 - $60,000 a year
now managed by Transitional Care Management
Salary: 55-60k based on experience
Robust benefits package, including the County's retirement savings plan
Experience with Public Aide/Medicaid and Medicare billing and collections (please specify detailed experience on resume / cover letter for consideration).
Matrix EMR system experience is preferred
Each center is unique; offering you a variety of long-term career opportunities.
Associate Claims Specialist: Medicare (Remote)
By Providence Health Plan At , Beaverton, 97005, Or
Provide and interpret detailed benefit, eligibility, and premium information on a broad portfolio of products
2 years' experience with claims, customer service or accounting
We welcome 100% remote work for residents living within a thirty mile radius of Portland, OR.
Required qualifications for this position include:
Preferred qualifications for this position include:
Check out our benefits page for more information about our Benefits and Rewards.
Billing/Collection Specialist - Medicare
By Northside Hospital At Atlanta, GA, United States

2023-37541 Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more ...

Medicare Specialist (Remote) ($53973.00 - $75562.00 / Year)
By Talentify.io At United States
Thorough knowledge of claims management
Compiles, reviews and analyzes claim files and/or management reports.
Maintains thorough understanding of service and products offered by Medicare Compliance department.
Excellent oral and written communication, including persuasive writing skills
Strong analytical and interpretive skills
Requests rated-ages; tracks files/requests/submissions through Centers for Medicare and Medicaid Services (CMS) processes; and creates documentation as required.
Medicare Specialist (Remote) Jobs
By Sedgwick At Delaware, United States
Thorough knowledge of claims management
Compiles, reviews and analyzes claim files and/or management reports.
Maintains thorough understanding of service and products offered by Medicare Compliance department.
Excellent oral and written communication, including persuasive writing skills
Strong analytical and interpretive skills
Requests rated-ages; tracks files/requests/submissions through Centers for Medicare and Medicaid Services (CMS) processes; and creates documentation as required.
Medicare Specialist (Remote) Jobs
By Sedgwick At Washington DC-Baltimore Area, United States
Thorough knowledge of claims management
Compiles, reviews and analyzes claim files and/or management reports.
Maintains thorough understanding of service and products offered by Medicare Compliance department.
Excellent oral and written communication, including persuasive writing skills
Strong analytical and interpretive skills
Requests rated-ages; tracks files/requests/submissions through Centers for Medicare and Medicaid Services (CMS) processes; and creates documentation as required.
Medicare Billing Specialist Jobs
By Home Healthcare, Hospice & Community Services (HCS) At , Remote
Associates degree in accounting or equivalent work experience; Bachelor’s degree preferred
A minimum of two years Medicare billing experience
Working knowledge of accounting principles and Medicare reimbursement system
Review all billing for coding accuracy.
Maintain patient information and make appropriate changes.
Communicate with Medicare, clinical and audit team to promote timely payments.