Job Summary
Medical Reimbursement Specialists work with insurance carriers and patients to resolve outstanding balances through research, follow-ups, and appeals. This is a remote position and applicants must live in the US.
Essential Duties
- Edit and maintain 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
- Use and adhere to Medicare guidelines
- Perform other duties as assigned
Requirements & Qualifications
Qualifications
- High school diploma or GED equivalent
- 2 years of 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
Location
Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago