Medicare Billing Specialist

Revenue Group • Cleveland, OH

326d • $18 - $20

About The Position

The Billing Specialist will be responsible for managing billing and follow-up on individual accounts assigned. This includes overseeing the status of accounts and their balances, identifying inconsistencies that may delay claim processing, and making appropriate corrections to denied or rejected claims according to individual payer guidelines to ensure timely claim resolution. The role also involves filing appeals with payers as needed, verifying the adjudication of claims, and updating multiple account receivable databases with new information and documentation of relevant follow-up efforts. The Billing Specialist is expected to identify and post payments, debits, and credits, ensure all department and/or client expectations are met, and provide feedback regarding possible solutions to any potential problems. The position requires maintaining high performance and composure under pressure and focusing time and resources on activities that produce quality results. Other duties may be assigned as necessary.

Requirements

• 7-year Background Check
• Experience with Medicare DDE Online system
• Medicare billing and follow-up experience
• Experience with billing and appeals
• High school diploma or equivalent preferred; Associate degree preferred
• 1 – 3 years experience in Customer Service
• Excellent leadership and organizational skills
• Proven ability to develop relationships
• Excellent verbal and written communication skills
• Strong problem-solving skills
• Proficient in MS Office
• Ability to navigate multiple systems/screens simultaneously

Responsibilities

• Manage billing and follow-up on individual accounts assigned
• Oversee the status of accounts and their balances
• Identify inconsistencies that may delay claim processing
• Make corrections to denied or rejected claims according to payer guidelines
• File appeals with payers as needed
• Contact payers to verify claim adjudication, coverages, and claim status
• Update account receivable databases with new information and documentation
• Identify and post payments, debits, and credits
• Ensure all department/client expectations are met
• Provide feedback regarding possible solutions to potential problems
• Take responsibility and ownership for problems, projects, or issues
• Maintain high performance under pressure
• Focus on activities that produce quality results
• Perform other duties as assigned.

Benefits

• 100% Paid Training
• 401(k) matching
• Paid Time off (PTO) – Up to 10 days your first year!
• 8 Paid Holidays – Including your birthday!
• Referral Program
• Employee Assistance Program (EAP)
• Growth & Continued Training
• Dental & Vision insurance
• Health insurance (including Long & Short-Term Disability)
• Life insurance (Company Paid)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED