Pfs Representative Iii - Medicare Biller

Medicare Billing Specialist: Performs complex review and reconciliation of Medicare patient accounts. Communicates with Medicare regulatory or, state agencies, related to Medicare billing, collection or refund activities. Works independently to resolve problems and demonstrates complete understanding of payer requirements to ensure timely and accurate payment. Completes reconciliation and billing of accounts making independent decisions based on situations. Works directly with Finance Director on any Medicare payment discrepancies and works directly with Compliance on CMS Regulatory requirements. Additionally, works with Health Information Management (HIM) on coding issue and local coverage determination (LCD) issues.