Talent.com
Medicare Claims Specialist

Medicare Claims Specialist

VirtualVocationsGainesville, Florida, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Medicare Specialist to manage and resolve Medicare claims for multiple hospital or physician groups.

Key Responsibilities

Resolve aged, outstanding, and denied medical claims to generate revenue

Review and analyze Medicare claims status and process adjustments

Maintain accurate account notes and meet production criteria with minimal errors

Qualifications and Requirements

High School Diploma or GED; some college preferred

1-2 years of experience with traditional Medicare claims

1-2 years of experience using the DDE Direct Data Entry system

Able to type 50 words per minute

Experience with Health Information Systems is beneficial

serp_jobs.job_alerts.create_a_job

Medicare Specialist • Gainesville, Florida, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Healthcare Claims Analyst

Healthcare Claims Analyst

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Analyst (Healthcare) to support their team in a remote capacity.Key Responsibilities Research, resolve, and follow up on rejected or unpaid pharmacy claims for a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
LTSS Specialist

LTSS Specialist

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for an LTSS Specialist I to support care coordination and improve member healthcare experiences.Key Responsibilities Ensure compliance with contractual obligations and govern...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Illinois Licensed Senior Claims Adjuster

Illinois Licensed Senior Claims Adjuster

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Adjuster - Premises, Slip and Fall / Restaurant and Retail.Key Responsibilities Investigate, evaluate, and settle complex claims with minimal supervision I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Senior Business Analyst - Claims

Senior Business Analyst - Claims

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Business Analyst - Claims.Key Responsibilities Coordinate a business analyst team's activities on IT projects and mentor newer team members Facilitate client me...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Florida Licensed PIP Adjuster

Florida Licensed PIP Adjuster

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a PIP Adjuster Medical Management.Key Responsibilities Assess the validity of claims based on policy terms and medical documentation Coordinate with medical providers an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Claims Adjuster

California Licensed Claims Adjuster

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Adjuster Workers Compensation.Key Responsibilities Analyze claims exposure and execute decision-making to resolve claims effectively Interact with various parti...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Insuring Specialist

Senior Insuring Specialist

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Insuring Specialist to oversee complex insuring processes within the post-closing team. Key Responsibilities Oversee and execute the end-to-end insuring process f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Refund Specialist

Refund Specialist

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Refund Specialist responsible for reviewing and resolving credit balances on patient accounts within the billing system. Key Responsibilities Audit encounters and accoun...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Bilingual Medicare Engagement Specialist

Bilingual Medicare Engagement Specialist

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Specialist in Medicare Member Engagement-Bilingual (Remote).Key Responsibilities Conduct direct outreach to new Medicare members to assist with their plans and educate ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
California Licensed Credentialing Specialist

California Licensed Credentialing Specialist

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Licensing and Credentialing Specialist.Key Responsibilities Manage the process of securing and maintaining licenses, certifications, and permits for healthcare provider...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Licensed Claims Adjuster

Licensed Claims Adjuster

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Adjuster - Associate.Key Responsibilities : Investigates and processes insurance claims, verifying coverage and compensation amounts Works with veterinary hospit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Escalation Specialist

Claims Escalation Specialist

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Escalation Specialist responsible for reviewing and processing healthcare claims and escalations. Key Responsibilities Review and analyze healthcare claims to ens...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Cyber Claims Operations Specialist

Cyber Claims Operations Specialist

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Operations Specialist specializing in processing cyber insurance claims.Key Responsibilities Develop and implement processes for the intake, organization, and re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims and Payments Director

Claims and Payments Director

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Claims & Payments Director.Key Responsibilities Interface directly with providers on claims policies and disputes Lead the Payment Policy Committee and provide policy ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
California Licensed Eligibility Director

California Licensed Eligibility Director

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Director, Eligibility Excellence.Key Responsibilities Lead the design and execution of a scalable Eligibility Center of Excellence, overseeing policies and opera...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Ohio Licensed Case Management Specialist

Ohio Licensed Case Management Specialist

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Case Management Specialist to facilitate medical recovery and return to work for injured employees. Key Responsibilities Conduct initial and ongoing clinical assessments...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Billing Support Specialist

Billing Support Specialist

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Billing Support Specialist.Key Responsibilities Maintain site specifics for assigned clients and verify correct contract rates for billing Manage billing rejections an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Insurance Verification Specialist

Insurance Verification Specialist

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Verification Specialist.Key Responsibilities Coordinate financial clearance activities, including patient demographic and insurance verification Obtain refe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Principal Claims Policy Expert

Principal Claims Policy Expert

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Principal Claims & Payments Expert to serve as a lead authority on claims-related policy matters. Key Responsibilities Interface directly with providers on claims polici...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Virginia Licensed Benefit Programs Specialist

Virginia Licensed Benefit Programs Specialist

VirtualVocationsGainesville, Florida, United States
serp_jobs.job_card.full_time
A company is looking for a Benefit Programs Specialist IV-Quality Assurance Specialist.Key Responsibilities Conduct thorough reviews, audits, and analyses of benefit program casework to ensure co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day