Job Description
TekSystems is currently hiring for a Medical Claims Account Specialist. This position is FULLY REMOTE! MUST live in the following states: FL. GA, MD, NJ, NC, PA, SC, TX.
MUST HAVE: 1-3 years of medical claims, medical billing, medical coding, OR any experience dealing with Medicare or Medicaid!
Preferred Qualifications
- Experience handling escalated cases, appeals, or complex inquiries
- Background in Medicare Advantage, Medicare Supplement, or government programs
- Experience in quality review, auditing, or reporting environments
- Prior experience mentoring or supporting team members
Description
As a Senior Group Account Specialist, you will support complex enrollment and account-related activities, with a focus on Medicare and CMS-regulated processes. This role involves handling escalated and high-priority cases, conducting research, and ensuring accurate and compliant resolution of inquiries.
Key Responsibilities:
- Research, document, and resolve co...
MUST HAVE: 1-3 years of medical claims, medical billing, medical coding, OR any experience dealing with Medicare or Medicaid!
Preferred Qualifications
- Experience handling escalated cases, appeals, or complex inquiries
- Background in Medicare Advantage, Medicare Supplement, or government programs
- Experience in quality review, auditing, or reporting environments
- Prior experience mentoring or supporting team members
Description
As a Senior Group Account Specialist, you will support complex enrollment and account-related activities, with a focus on Medicare and CMS-regulated processes. This role involves handling escalated and high-priority cases, conducting research, and ensuring accurate and compliant resolution of inquiries.
Key Responsibilities:
- Research, document, and resolve co...