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Medicare Billing Specialist

Revenue Group
Cleveland, OH Full Time
POSTED ON 2/21/2025
AVAILABLE BEFORE 5/22/2025

Job Description

Job Description

Description :

Pay Rate : $18-$20 / hour

Days and Time : 8 : 00am-4 : 30pm Monday thru Friday (this position does allow for some flexibility)

Who is Revenue Group?

Established in 1994, Revenue Group is a leading business process outsourcing company, committed to surpassing client expectations and maintaining an exceptional industry reputation.

Revenue Group prides itself on being a leading full-service agency, consistently advocating for our clients with the utmost respect. Our definition of success extends beyond financial accomplishments; it encompasses the opportunities we provide to our team members, the valuable relationships we foster with our clients, and our dedication to the communities where we operate.

Our employees voted us Top Workplaces 3 years in a row!

The Billing Specialist will be responsible for :

  • Primary responsibility will be the billing and follow up on individual accounts assigned
  • Manage the status of accounts and their balances, while identifying inconsistencies that may delay claim processing
  • Make appropriate corrections to denied or rejected claims, with respect to individual payer guidelines to ensure timely claim resolution
  • File appeals with payers as needed, with respect to individual payer guidelines to ensure timely claim resolution
  • Contact payers using various communication methods to : verify the adjudication of a claim, verifying coverages and claim status
  • Update multiple account receivable databases with new information and documentation of relevant follow up efforts with clean and reliable data
  • Identify and post payments, debits and credits
  • Ensure all department / and or client expectations are met
  • Provide feedback to department and / or clients regarding possible solutions to any potential problems
  • Takes responsibility and ownership for a problem, project or issue.
  • Maintain high performance and composure under pressure, opposition or criticism.
  • Productively focuses time and resources on activities to produce quality results.
  • Other duties as assigned.

PM21

Requirements : Work Requirements :

  • 7-year Background Check
  • Experience with Medicare DDE Online system
  • Medicare billing and follow-up experience
  • Experience with billing and appeals
  • High school diploma or equivalent is preferred. Associate degree preferred.
  • 1 – 3-year experience in Customer Service
  • Excellent leadership, organizational skills
  • Proven ability to develop relationships
  • Excellent verbal and written communications skills
  • Strong problem-solving skills
  • MS Office
  • Ability to navigate multiple systems / screens simultaneously
  • Our Benefits :

  • 100% Paid Training
  • 401(k) matching
  • Paid Time off (PTO) – Up to 10 days your first year!
  • 8 Paid Holidays – Including your birthday!
  • Referral Program
  • Employee Assistance Program (EAP)
  • Growth & Continued Training
  • Dental & Vision insurance
  • Health insurance (including Long & Short-Term Disability)
  • Life insurance (Company Paid)
  • EEO Statement :

    We are an Equal Employment Employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state / province, or local laws.

    PM21

    Salary : $18 - $20

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