Medicare Specialist

🔥 10 minutes ago

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Ovation Healthcare

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 45 years

💼 Consulting

📦 Logistics

🏭 Manufacturing

Consulting • Logistics • Manufacturing

Ovation Healthcare is a leading provider of shared services for independent hospitals and health systems. With over 45 years of experience, the company enhances hospital and system performance through services like leadership advisory, supply chain management, revenue cycle management, technology services, and clinical care management. Ovation Healthcare is dedicated to supporting the financial and clinical needs of hospitals while preserving their focus on patient care and community wellness. Their educational programs and consulting services aim to strengthen hospital operations, making healthcare delivery more efficient and effective.

📋 Description

• Prepare and submit accurate Medicare claims for patient services • Utilize DDE, CWF, and other tools to track and follow up on unpaid Medicare claims • Review patient accounts and reconcile payments with Medicare remittance advice • Communicate with patients regarding their Medicare coverage and billing questions • Investigate and resolve issues related to denied or underpaid Medicare claims • Prepare and submit appeals for denied claims • Monitor and analyze aging reports for overdue Medicare accounts • Ensure all billing and collection practices comply with Medicare regulations • Maintain accurate records of all Medicare claims, payments, and communications

🎯 Requirements

• 3-5 years of hospital Business Office billing and follow-up experience as a Medicare representative • Experience utilizing Payer portals, DDE and client systems • In-depth knowledge of Medicare billing codes, guidelines, and regulations • Medical Terminology, ICD-10, CPT and DRG knowledge preferred • High school diploma or equivalent

🏖️ Benefits

• 100% Remote • Stable internet connection • Dedicated workspace free of distractions • Access to necessary office equipment • Daily communication with team members and management