Medicare Billing Specialist

• Prepare and submit accurate claims to Medicare, Medicaid, and third-party payers using both electronic and paper methods
• review all documentation to ensure compliance with payer regulations and completeness
• identify and resolve errors in claims prior to submission to reduce denials and rejections
• monitor claim statuses and follow up promptly to secure timely reimbursements
• investigate and resolve discrepancies, denials, and underpayments in claims
• handle claim adjustments, resubmissions, and appeals efficiently to ensure resolution
• collaborate with Accounts Receivable to reconcile payments and adjustments
• communicate effectively with internal teams to resolve billing-related concerns
• stay updated on Medicare, Medicaid, and insurance billing policies and regulations
• support audits and contribute to process improvements within the billing operations

• High school diploma or equivalent required
• associate degree or billing certification preferred
• minimum of 2 years' experience in medical billing, including proficiency in handling Medicare, Medicaid, and commercial insurance claims
• familiarity with medical coding standards such as CPT and HCPCS codes
• strong skills in Excel, including functions like VLOOKUP and pivot tables
• proven ability to manage large volumes of data with accuracy and attention to detail
• excellent communication skills and a customer-focused approach
• ability to prioritize tasks effectively and meet deadlines in a fast-paced environment

Experience in healthcare or home health billing is highly desirable

• medical, vision, dental, and life and disability insurance
• eligible to enroll in our company 401(k) plan