Medicare Billing Specialist

Job Title: Medicare Billing Specialist
Location: Edmond, OK (Onsite)

Overview:
We are seeking a detail-oriented Medicare Billing Specialist to join our team in Edmond, OK. In this role, you will be responsible for reviewing billing data, following up on unpaid claims, communicating with insurance providers, and ensuring timely and accurate reimbursement. The ideal candidate will have strong knowledge of medical billing practices, Medicare guidelines, and experience handling insurance denials and collections.

Key Responsibilities:

• Review and manage unpaid claims, follow up with insurance companies via phone or online portals

• Submit required documentation and corrections to facilitate claim processing and payment

• Respond to patient questions regarding accounts, billing, and insurance coverage

• Verify insurance coverage and benefits; determine patient financial responsibility

• Research and resolve insurance denials

• Identify and manage delinquent accounts and initiate collection actions

• Contact patients and third-party payers to collect unpaid balances

• Evaluate financial status of patients and establish payment plans

• Monitor and follow up on accounts receivable and unpaid claims

• Assist patients with financial assistance programs

• Ensure compliance with HIPAA and maintain patient confidentiality

• Maintain cleanliness and organization of work area

• Use downtime productively and assist coworkers when needed

• Adhere to company policies, dress code, and attendance standards

• Perform other duties as assigned

Requirements:

Knowledge:

• Strong understanding of Medicare billing procedures

• Knowledge of medical billing and collections best practices

• Familiarity with third-party payer systems and medical coding basics

Skills:

• Proficient with computer software and EMR systems

• Skilled at troubleshooting claim issues and resolving denials

• Excellent communication and customer service skills

Abilities:

• Ability to accurately process data and analyze insurance documentation

• Able to handle sensitive interactions with professionalism and diplomacy

• Strong organizational and multitasking abilities