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Medicare Billing From Home Jobs (NOW HIRING)

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Medicare Billing Specialist

Cumming, GA · On-site

$17.25 - $23.25/hr

Respond to inquiries from families, residents, payors, and facility staff regarding billing statements and account status * Collaborate with facility teams to ensure required documentation is ...

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Medicare Billing From Home information

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How much do medicare billing from home jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for medicare billing from home in the United States is $21.96, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $23.08 per hour, depending on experience, location, and employer.

What is Medicare billing from home?

Medicare billing from home involves processing and submitting Medicare claims to ensure healthcare providers are reimbursed for their services. Individuals in this role typically work remotely, handling patient information, coding medical procedures, and following up on claim statuses. This job requires knowledge of Medicare regulations, medical billing codes, and secure handling of sensitive information. Many professionals in this field are certified medical billers or coders. Working from home provides flexibility but also demands strong attention to detail and organizational skills.

What are the key skills and qualifications needed to thrive as a Medicare billing from home professional?

To thrive as a Medicare Billing From Home professional, you need a strong understanding of medical billing procedures, Medicare regulations, and coding standards, typically supported by a certification such as Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS). Proficiency with billing software like Kareo, AdvancedMD, or Medisoft, as well as secure remote work systems, is standard in this role. Attention to detail, strong organizational skills, and effective communication are essential soft skills for accuracy and client interaction. These qualifications ensure compliance, timely reimbursements, and efficient handling of claims in a remote environment.

What are some common challenges faced by professionals working in Medicare billing from home and how can they be managed?

One common challenge when working in Medicare billing from home is staying updated with frequent changes in Medicare regulations and codes. Remote workers may also find it difficult to communicate quickly with team members or supervisors when complex billing questions arise. To manage these issues, it’s important to regularly participate in online training sessions, use secure communication platforms for team collaboration, and establish a clear daily routine to stay organized. Staying proactive with ongoing education and maintaining strong lines of communication can help remote Medicare billers remain accurate and efficient in their roles.

What is the difference between Medicare Billing From Home vs Medical Billing Specialist?

AspectMedicare Billing From HomeMedical Billing Specialist
CredentialsTypically requires certification in Medicare billing or codingOften requires certification in medical billing/coding, but less specific to Medicare
Work EnvironmentRemote, home-based setupCan be remote or in-office, depending on employer
Industry UsagePrimarily in healthcare, focusing on Medicare claimsBroader healthcare billing, including private insurance and Medicare

Medicare Billing From Home specializes in processing Medicare claims remotely, often requiring specific certifications. Medical Billing Specialists handle a wider range of insurance claims, working in various environments. Both roles involve billing and coding but differ mainly in scope and work setting.

What cities are hiring for Medicare Billing From Home jobs?

Cities with the most Medicare Billing From Home job openings:

What are the most commonly searched types of Medicare Billing jobs?

The most popular types of Medicare Billing jobs are:

What states have the most Medicare Billing From Home jobs?

States with the most job openings for Medicare Billing From Home jobs include:

Medicare Billing From Home jobs near you

Medicare Billing Specialist

United Surgical Partners International

Dallas, TX • On-site

$60 - $80/hr

Other

Posted 6 days ago

United Surgical Partners International rating

5.3

Company rating: 5.3 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

Position Overview

We are looking for a motivated performer to join the Centralized Training Office as a Hospital Billing Specialist focused on Medicare. We are looking for a top performer with extensive knowledge of billing processes. Reporting to the Billing Manager, the Hospital Billing Specialist, Medicare is responsible for the timely and accurate submission of claims ensuring those claims result in maximum reimbursement. This will encompass services rendered in an Acute Care Surgical Hospital setting.

Responsibilities
  • Pull any preoperative notes from the designated transcription company.
  • Extract information from medical records, operative notes, invoices, progress notes and discharge paperwork to ensure completeness and accuracy of charge entry.
  • Capture implants, high-cost supplies, high-cost drugs, post op pain blocks and observations times prior to charge submission
  • Review accuracy of invoice details, including customer billing instructions, pricing, discounts, state sales tax, etc.
  • Execute the recurring billing workflow and generate and transmit claims daily.
  • Ensure timely follow-up and resolution of internal and external inquiries of billing issues (i.e., operative notes, POPM form, invoices, or implant pricing etc).
  • Reconcile revenue and billing during the period-end close process.
  • Complete accurate charge entry for all assigned cases and upload to designated electronic claims clearinghouse daily.
  • Resolve claim rejections daily to ensure clean claims are transmitted and received by the appropriate payer.
  • Investigate, appeal, and resolve denied or unpaid claims, ensuring correct resubmission and payment.
  • Navigate the DDE and make the appropriate claims corrections when appropriate.
  • Manage claim resubmission queues in a timely manner.
  • Maintain current knowledge of health care billing laws, rules, regulations, and developments.
  • Complete Special Projects when appropriate.
  • Complete other duties as assigned.
Required Skills
  • Experience in DDE system, Ability Ease, and Novitasphere
  • 3-4 years previous Hospital billing experience, with emphasis on Medicare billing
  • Preference shown to previous experience in a Facility setting
  • Ability to work independently
  • Excellent communication skills and interpersonal skills
  • Skilled in time management and prioritization of emergent situations
  • Comfortable utilizing critical thinking skills
  • Proficient with Microsoft Office products
  • Experience with electronic patient information systems
  • Function as a subject matter expert (SME) for Medicare
  • Experience with Ability, DDE, nThrive, Cerner, etc required.
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