Medicare Follow-up Specialist - Billing at Holyoke Medical Center – Holyoke, Massachusetts

Medicare – Medicare Follow-up Specialist is responsible for the resolution of Medicare and Medicare
Advantage claims to ensure timely and accurate reimbursement. Successful candidates are expected to
be familiar with Medicare regulations, accurately follow-up and resolve suspended and RTP claims,
assist in completion of quarterly reporting requirements and resolution of credit balances.

• Responsible for timely submission of daily and monthly Medicare claims
• Identifying and billing secondary or tertiary insurance plans.
• Researching and appealing denied claims
• Reviewing patient bills for accuracy and completeness and obtaining any missing information from multiple sources.
• Responsible for timely follow-up of all outstanding Medicare Claims
• Communicate with third-party representatives as necessary to complete claims processing and/or resolve problem claims by phone and website.