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Job description
Join Us as Inpatient Medicare Collections Specialist!Full Time 40 hours onsite in Auburn, MAThe Inpatient Medicare Collections Specialist is responsible for maximizing reimbursement and ensuring timely resolution of Medicare inpatient accounts receivable. This role focuses on Medicare fee-for-service claims, including high-dollar hospital stays, by managing claim edits, resolving denials, and navigating the Medicare Direct Data Entry (DDE/FISS) system to secure accurate and timely payment.Inpatient Medicare Collections Specialist Job Responsibilities:Monitor Medicare DDE (FISS) system for claim status updates including edits, RTP, and suspended claims.Correct claim errors, billing discrepancies, and coding-related issues.Investigate and resolve denied, zero-pay, or underpaid Medicare claims.Prepare and submit redetermination and reconsideration appeals.Work Medicare aging reports daily and prioritize high-dollar accounts.Communicate with Medicare Administrative Contractors (MACs) to resolve claim issues.Coordinate patient responsibility and secondary billing.Ensure compliance with CMS regulations and proper documentation.Other Collections activity as assignedInpatient Medicare Collections Specialist will have the following:1–3+ years of hospital billing or Medicare collections experience.Inpatient Psych experience preferred.Experience with Medicare DDE/FISS preferred. Knowledge of Medicare billing rules and IPPSFamiliarity with Medicare Secondary Payer (MSP) rulesStrong analytical and detail-oriented skillsProficiency in billing systems and Microsoft OfficeWhen you join the growing TaraVista team, you're not just taking a job, you're making a difference in people's lives. As our team member, you'll receive:Medical, Dental, and Vision401(k) matchEmployer paid short term disability (STD)Employer paid life and AD&D InsuranceGenerous Paid Time OffFlexible Spending AccountTuition ReimbursementPay RangeCompensation will be determined based on the candidate's relevant experience.$24.00 - $30.00TaraVista is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Worksite address
auburn, MA, 01501, US
Who can apply
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