Medicare Specialist

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🔥 14 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Healthcare Insurance • SaaS • Artificial Intelligence

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 which are identified on RTP report. • Review patient bills for accuracy and completeness and obtaining any missing information. • Utilization and adherence to Medicare guidelines. • Other duties as assigned.

🎯 Requirements

• High School Diploma or GED equivalent • Two years (2) experience resolving medical Medicare claims • 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

🏖️ Benefits

• We build long-term careers by investing in YOU. • Opportunity for professional development and personal growth.