Medicare Billing Specialist

TEKsystems•Salisbury, MD

18h•$18 - $25•Remote

About The Position

The Medicare Billing Specialist supports the client’s Medicare billing team by accurately preparing, reviewing, and submitting institutional Medicare claims through the Fiscal Intermediary Standard System (FISS). The role focuses on claim creation through submission and is not an accounts receivable follow-up or collections position. The specialist ensures claims meet Medicare billing regulations and payer requirements, addresses front-end claim issues, and works with coding, registration, and revenue cycle teams to resolve billing problems. This is a fully remote role with a Monday–Friday schedule during standard business hours. The position is contract-to-hire and is based out of Salisbury, Maryland.

Requirements

At least 2 years of Medicare billing experience in a hospital, health system, or institutional healthcare setting.
Hands-on experience using FISS Medicare for claim submission and billing functions.
Strong understanding of Medicare Part A billing requirements.
Experience reviewing and correcting claim edits before submission.
Knowledge of UB-04 claims and institutional billing workflows.
Understanding of Medicare regulations, billing guidelines, and reimbursement methodologies.
Strong attention to detail and analytical problem-solving skills.
Experience with healthcare billing systems such as Epic, Cerner, Meditech, or similar platforms.
High school diploma or equivalent.

Nice To Haves

Acute care hospital experience.
Skilled Nursing Facility (SNF) billing.
Hospice Medicare billing.
Home health Medicare billing.
Outpatient Medicare billing.
Cerner.
Meditech.
Institutional healthcare billing operations.

Responsibilities

Prepare, review, and submit Medicare claims through FISS.
Ensure claims comply with Medicare billing regulations and payer requirements.
Review claims for accuracy, completeness, and proper coding before submission.
Research and resolve billing edits, claim rejections, and front-end claim issues.
Verify beneficiary eligibility and coverage information.
Monitor claim status and identify submission errors using FISS.
Process claim corrections and adjustments as needed.
Collaborate with coding, registration, and revenue cycle teams to resolve billing issues.
Maintain productivity and quality standards while meeting billing deadlines.