Medicare Billing & Follow-up Specialist - 252098

Schedule: 7:00 AM – 3:30 PM (flexible)About the RoleWe are hiring an experienced Medicare Billing & Follow-Up Specialist to support a high-performing revenue cycle team. This role is ideal for someone who can work independently, manage volume, and confidently resolve complex Medicare claims.Key ResponsibilitiesBillingSubmit and manage Medicare claims in Epic Resolute HBEnsure claims meet CMS clean claim standardsResolve edits (modifiers, scrubbing, registration issues)Maintain goal of zero claims over 7 days oldFollow-UpHandle 40–45+ accounts dailyResolve rejections/denials in DDE/FISS (WPS portal)Address CWF overlaps and MSP issuesPartner with Coding and Revenue Integrity on denial trendsAppeals & RecoveryManage Medicare appeals (Redetermination through ALJ)Ensure timely filing complianceDrive resolution of unpaid/underpaid claimsRequirements2+ years Medicare billing or follow-up experienceHospital/inpatient/facility billing backgroundEpic Resolute HB experienceActive DDE username (required)Strong Medicare Part A and/or B knowledgeWhat Sets This Role ApartHigh autonomy, no micromanagementClear productivity expectationsFast-paced, results-driven environmentDirect impact on reimbursement outcomesApplyIf you're a strong Medicare specialist who can hit the ground running and manage high volume, we'd like to connect.