Medicare Specialist I

Southeast. Always the right career direction.


Job Description Summary
Performs daily activities involved in the reimbursement process, i.e. claims filing/follow-up, entry of payments/adjustments, and follow-up on non-payment or payments below contracted fee schedule amount. Identifies any repetitive errors, either system or manual, take corrective action and document. Performs all tasks in a timely manner to ensure consistency in Accounts Receivables (A/R) totals and maintain a minimum of days in A/R. Using internal and external computer systems and payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full resolution.
Job Description

Essential Functions

+ Works as part of a multi-disciplinary team to provide answers to inquiries and questions;

+ Troubleshoot problems and provide information;

+ Handle intervention or referrals with a professional and respectful customer service focus telephonic...