Medicare Claims Specialist

1 day ago


Blue Ash, Ohio, United States CommuniCare Family of Companies Full time

About the Role

The Medicare Biller position at CommuniCare Family of Companies is responsible for ensuring accurate and timely billing for services provided to patients in our facilities. This role requires strong analytical and communication skills to resolve unpaid claims and minimize bad debt.

Key Responsibilities

  • Verify receipt of monthly triple check forms and audit for accuracy
  • Review and submit Medicare A, B, and Secondary Payer claims for accuracy and timely submission
  • Identify and submit billing for secondary claims that do not automatically crossover to secondary insurance
  • Follow-up on unpaid claims and document account within standard billing cycle time frame
  • Monitor for and report Medicare additional development requests

Requirements

  • 4 years advanced education beyond high school, or comparable work experience
  • Knowledge of Medicare & Secondary Billing Guidelines
  • Previous experience billing various Medicare and Co-insurance companies

What We Offer

As a CommuniCare employee, you will enjoy competitive wages and PTO plans, as well as a menu of benefit options from life and disability plans to medical, dental, and vision coverage.



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