Medicare Account Resolution Specialist
New
D
DigitechMedical Billing
United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Required Skills
- Microsoft ExcelData entry
Requirements
- High School Diploma or equivalent.
- Proficiency in Microsoft Outlook, Word, and Excel.
- Ability to type at least 40 words per minute accurately.
- Experience managing high-volume workloads and meeting tight deadlines.
- Proven ability to work effectively and independently in a remote environment.
- Excellent written and verbal communication skills.
- Strong organizational, time management, and attention-to-detail skills.
- Experience in environments with call monitoring, productivity metrics, or performance scoring is preferred.
Responsibilities
- Work pending, denied, or incorrectly paid Medicare claims to ensure timely payment.
- Identify reasons for claim holds, correct errors, and perform necessary follow-up actions.
- Analyze Medicare denials to determine accuracy and execute appeals, adjustments, or resubmissions.
- Submit required documentation to Medicare for accurate claim adjudication.
- Prepare, track, and process correspondence, refunds, and supporting documentation.
- Maintain precise notes and workflow updates in billing systems for audit compliance.
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