Medicare Specialist

🔥 21 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• Edit and perform maintenance on Medicare claims • Follow up on billed claims in a timely and effective manner • Maintain knowledge of current Medicare regulations and guidelines • Monitor patient accounts for accurate payment • Pursue account reimbursement through compliant action • Edit rejected claims in DDE identified on the RTP report • Review patient bills for accuracy and completeness and obtain missing information • Utilize and adhere to Medicare guidelines • Perform other duties as assigned

🎯 Requirements

• 4+ years of experience resolving medical Medicare claims • Expert Epic experience required • High School Diploma or GED equivalent • Knowledge of Medicare and/or Medicaid payors • Familiarity with CPT and ICD-10 coding preferred • Knowledge of insurance billing and medical terminology preferred • Familiarity with electronic and paper systems used in billing healthcare services • Ability to research unpaid or underpaid claims for resolution • Ability to perform work at a computer terminal for 6-8 hours a day • Ability to lift and move material weighing up to 20 lbs. infrequently

🏖️ Benefits

• Professional development and personal growth opportunities