Medicare Follow-up Specialist - Billing

Medicare Follow-Up Specialist

Medicare Follow-Up Specialist is responsible for the resolution of Medicare and Medicare Advantage claims to ensure timely and accurate reimbursement. Successful candidates are expected to be familiar with Medicare regulations, accurately follow-up and resolve suspended and RTP claims, assist in completion of quarterly reporting requirements and resolution of credit balances. Responsible for timely submission of daily and monthly Medicare claims Identifying and billing secondary or tertiary insurance plans. Researching and appealing denied claims Reviewing patient bills for accuracy and completeness and obtaining any missing information from multiple sources. Responsible for timely follow-up of all outstanding Medicare Claims Communicate with third-party representatives as necessary to complete claims processing and/or resolve problem claims by phone and website.