Medicare Billing Specialist
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Job Location:
Waukegan, IL - USA
Hourly Salary:
USD 18 - 23
Posted on:
12-10-2025
Vacancies:
1 Vacancy
Job Summary
On-Site Full Time Medicare Biller
Under the direction of the Director of Revenue Cycle or designee the Medicare Billing Specialist ensures all traditional Medicare and Medicare Managed Care claims are reviewed for claim edits claim submission and timely follow up.
Responsibilities:
- Validate and make corrections on the UB04 resolving all claim edits before claim submission.
- Work suspended claims in the Medicare DDE system as needed.
- Review claims before submission for missing modifiers charges and/or implants.
- Validate pharmacy quantities are reflected on the claim correctly.
- Validate claim against the coding abstract to ensure accurate billing of procedures.
- Review 24 and 72-hour admission report combining claims as needed.
- Split inpatient claims as appropriate per carrier guidelines.
- Submit claims to carriers with the appropriate remarks and/or attachments.
- Run insurance eligibility as needed.
- Other billing assignments within skillsets and abilities.
Requirements:
- High school diploma or equivalent. Associates Degree or some college is preferred.
- Minimum 2-years Medicare Billing experience in an acute care facility.
- Knowledge of Common Procedural Terminology (CPT) and ICD-10 Codes.
- Knowledge of Federal State Commercial and County billing.
Required Experience:
IC
Key Skills
- Medical Collection
- Accounts Receivable
- Athenahealth
- ICD-10
- Medical Coding
- 10 Key Calculator
- Detailing
- ICD-9
- Medical Billing
- Microsoft Excel
- CPT Coding
- Medicare
About Company
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