Medicare Billing & Follow-up Specialist - 252098 Job at Medix™, Des Plaines, IL

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  • Medix™
  • Des Plaines, IL

Job Description

Schedule: 7:00 AM – 3:30 PM (flexible)

About the Role

We 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 Responsibilities

Billing

  • Submit and manage Medicare claims in Epic Resolute HB
  • Ensure claims meet CMS clean claim standards
  • Resolve edits (modifiers, scrubbing, registration issues)
  • Maintain goal of zero claims over 7 days old

Follow-Up

  • Handle 40–45+ accounts daily
  • Resolve rejections/denials in DDE/FISS (WPS portal)
  • Address CWF overlaps and MSP issues
  • Partner with Coding and Revenue Integrity on denial trends

Appeals & Recovery

  • Manage Medicare appeals (Redetermination through ALJ)
  • Ensure timely filing compliance
  • Drive resolution of unpaid/underpaid claims

Requirements

  • 2+ years Medicare billing or follow-up experience
  • Hospital/inpatient/facility billing background
  • Epic Resolute HB experience
  • Active DDE username (required)
  • Strong Medicare Part A and/or B knowledge

What Sets This Role Apart

  • High autonomy, no micromanagement
  • Clear productivity expectations
  • Fast-paced, results-driven environment
  • Direct impact on reimbursement outcomes

Apply

If you’re a strong Medicare specialist who can hit the ground running and manage high volume, we’d like to connect.

Job Tags

Flexible hours

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