MEDICARE BILLING SPECIALIST

The Medicare Billing Specialist is responsible for accurately billing Medicare for medical services rendered and ensuring compliance with all CMS (Centers for Medicare & Medicaid Services) regulations. This role involves preparing, reviewing, and submitting claims, resolving denials and rejections, and maintaining up-to-date knowledge of Medicare billing guidelines for both institutional and professional claims.

Check out the role overview below If you are confident you have got the right skills and experience, apply today.

Qualifications :

High school diploma or equivalent required; Associate's degree or medical billing certification preferred (e.g., CPB , CBCS , or CPC ).

2+ years of experience in Medicare billing (Part A and / or Part B).

Strong understanding of CMS rules, claims adjudication processes, and denial management.

Familiarity with Medicare claim forms ( UB-04, CMS-1500 ) and EDI formats.

Experience using billing software (e.g., Epic, Meditech, Cerner, eClinicalWorks ) and clearinghouses (e.g., Optum, Change Healthcare ).

Proficiency in Medicare portals and tools (e.g., Noridian, Novitas, Palmetto GBA , etc.).