Medicare Follow-up Specialist - Billing
River Valley Counseling Center•Holyoke, MA
60d
About The Position
Medicare - Medicare Follow-up Specialist is responsible for the resolution of Medicare and Medicare Advantage claims to ensure timely and accurate reimbursement. Successful candidates are expected to be familiar with Medicare regulations, accurately follow-up and resolve suspended and RTP claims, assist in completion of quarterly reporting requirements and resolution of credit balances.
Responsibilities
- Responsible for timely submission of daily and monthly Medicare claims
- Identifying and billing secondary or tertiary insurance plans.
- Researching and appealing denied claims
- Reviewing patient bills for accuracy and completeness and obtaining any missing information from multiple sources.
- Responsible for timely follow-up of all outstanding Medicare Claims
- Communicate with third-party representatives as necessary to complete claims processing and/or resolve problem claims by phone and website.
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What This Job Offers
Industry
Ambulatory Health Care Services
Education Level
No Education Listed
Number of Employees
251-500 employees
