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Medicare Billing Jobs (NOW HIRING)

Ovation Healthcare

Specialist, Medicare

The Medicare Specialist is responsible for managing the billing and collection processes for Medicare patients, ensuring compliance with Medicare policies and regulations, and following up on unpaid ...

Ovationhealthcare

Specialist, Medicare

The Medicare Specialist is responsible for managing the billing and collection processes for Medicare patients, ensuring compliance with Medicare policies and regulations, and following up on unpaid ...

AMERICAN ADVANCED MANAGEMENT

Medicare Biller

Salida, CA

$22 - $26/hr

Inform billing Supervisor/Director of Business Office of any insurance issues (third party billing ... Resubmit claims, file appeals/denials, and demonstrate in-depth knowledge of Medicare, Medi-Cal and ...

American Advanced Management

Medicare Biller

Salida, CA · On-site

$22 - $26/hr

Inform billing Supervisor/Director of Business Office of any insurance issues (third party billing ... Resubmit claims, file appeals/denials, and demonstrate in-depth knowledge of Medicare, Medi-Cal and ...

Medix

Nursing Home Medicare Biller

Melville, NY · On-site

$24 - $27/hr

The primary goal is to ensure compliance with Medicare billing guidelines and improve the accuracy of reimbursement while collaborating with various teams to uphold billing documentation requirements.

American Advanced Management

Medicare Biller

Salida, CA · On-site

$22 - $26/hr

Inform billing Supervisor/Director of Business Office of any insurance issues (third party billing ... Resubmit claims, file appeals/denials, and demonstrate in-depth knowledge of Medicare, Medi-Cal and ...

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Medicare Billing information

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How much do medicare billing jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for medicare billing in the United States is $17.21, according to ZipRecruiter salary data. Most workers in this role earn between $8.17 and $26.20 per hour, depending on experience, location, and employer.

What is Medicare billing?

Medicare billing refers to the process of submitting claims and receiving payment for healthcare services provided to patients covered by Medicare, the federal health insurance program in the United States. This involves accurately coding medical procedures and diagnoses, ensuring compliance with Medicare regulations, and following up on claim status. Professionals in Medicare billing often work closely with healthcare providers and insurance companies to resolve discrepancies and ensure timely reimbursement.

What are the key skills and qualifications needed to thrive as a Medicare billing specialist?

To thrive as a Medicare Billing Specialist, you need a solid understanding of medical billing procedures, Medicare regulations, and healthcare reimbursement, often supported by a certificate in medical billing or coding. Familiarity with billing software, electronic health records (EHR) systems, and coding standards such as ICD-10 and CPT is typically required. Attention to detail, strong organizational skills, and effective communication are vital soft skills for accurately processing claims and resolving discrepancies. These skills and qualifications ensure compliance, minimize errors, and optimize timely reimbursement for healthcare providers.

What are some common challenges faced in a Medicare billing role, and how can new hires effectively navigate them?

One of the most common challenges in Medicare Billing is staying updated with frequently changing regulations and ensuring compliance with complex billing codes. New hires may also encounter denied claims or requests for additional documentation, which require careful attention to detail and persistence. To navigate these challenges, it's important to regularly review CMS updates, participate in ongoing training, and collaborate closely with other billing team members and healthcare providers. Developing strong organizational skills and a proactive approach to problem-solving will also help new employees succeed in this role.

What is the difference between Medicare Billing vs Medical Billing?

AspectMedicare BillingMedical Billing
CredentialsOften requires knowledge of Medicare policies and certificationsRequires general billing certifications, such as CPC or CPC-A
Work EnvironmentHospitals, clinics, government programsPrivate practices, hospitals, clinics
Industry UsagePrimarily in healthcare facilities dealing with Medicare patientsBroader healthcare settings including private insurance
Search/Comparison IntentFocuses on Medicare-specific billing processesGeneral medical billing practices across insurance types

Medicare Billing specifically involves processing claims for Medicare patients, requiring knowledge of Medicare policies. Medical Billing covers a wider range of insurance types and healthcare providers. While both roles involve billing procedures, Medicare Billing is specialized for government insurance programs, whereas Medical Billing encompasses various insurance providers and settings.

How to get certified in Medicare billing?

To become certified in Medicare billing, individuals typically complete a training program or course in medical billing and coding, focusing on Medicare policies and procedures. Certification options include the Certified Professional Biller (CPB) from the American Academy of Professional Coders (AAPC) or the Certified Billing and Coding Specialist (CBCS) from the National Healthcareer Association (NHA), which demonstrate proficiency in billing practices and compliance. Gaining experience with billing software and understanding Medicare regulations are also important steps.

Is it hard to get hired as a Medicare Billing?

Getting hired as a Medicare Billing specialist typically requires knowledge of healthcare billing procedures, familiarity with Medicare policies, and proficiency with billing software. While demand for these roles exists, competition can vary based on location and experience, and certifications such as Certified Professional Biller (CPB) can improve job prospects.

What does a Medicare Billing do?

A Medicare Billing specialist is responsible for processing and submitting claims for Medicare-covered services, ensuring accuracy and compliance with regulations. They verify patient information, code procedures correctly, and work with insurance companies to resolve billing issues, often using billing software and understanding healthcare policies.
More about Medicare Billing jobs

What cities are hiring for Medicare Billing jobs?

Cities with the most Medicare Billing 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 jobs?

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

What job categories do people searching Medicare Billing jobs look for?

The top searched job categories for Medicare Billing jobs are:

What are popular job titles related to Medicare Billing jobs?

For Medicare Billing jobs, the most frequently searched job titles are:

Medicare Billing jobs near you
Infographic showing various Medicare Billing job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 83% Full Time, 11% Part Time, and 4% Contract. Highlights an 90% Physical, 4% Hybrid, and 6% Remote job distribution, with an average salary of $35,799 per year, or $17.2 per hour.

Specialist, Medicare

Ovation Healthcare

Remote

Full-time

Re-posted 2 days ago

Job description

Welcome to Ovation Healthcare!
At Ovation Healthcare (formerly QHR Health), we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
We're looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com.
Summary:
The Medicare Specialist is responsible for managing the billing and collection processes for Medicare patients, ensuring compliance with Medicare policies and regulations, and following up on unpaid Medicare claims. This role involves processing Medicare claims, managing accounts receivable, addressing patient inquiries, and working closely with Medicare representatives to resolve billing issues.
Duties and Responsibilities:
  • Prepare and submit accurate Medicare claims for patient services, ensuring compliance with Medicare guidelines and regulations. Utilizes DDE, CWF, and other tools to identify, track and follow up on unpaid or denied Medicare claims, identifying issues and working to resolve any billing discrepancies with Medicare or patients.
  • Review patient accounts and reconcile payments with Medicare remittance advice, ensuring all payments are posted correctly and outstanding balances are addressed. Communicate with patients regarding their Medicare coverage, billing questions, payment options, and any unpaid balances.
  • Investigate and resolve issues related to denied or underpaid Medicare claims, working with Medicare representatives and internal departments to ensure accurate reimbursement. Prepares and submits appeals for denied claims, including supporting documentation.
  • Monitor and analyze aging reports to prioritize follow-up actions for overdue Medicare accounts, ensuring timely resolution. Ensure all billing and collection practices are compliant with Medicare regulations, HIPAA, and company policies. Identifies potential compliance risks and recommends corrective action. Maintains accurate records of all Medicare claims, payments, communications, and follow-up activities, ensuring proper documentation in the patient account system.
  • Identify and resolve Medicare credit balances and may assist with preparation of quarterly Medicare credit balance report. Request offset to future payments in DDE.
  • Work with internal departments, such as coding, finance, etc. to review diagnosis, CPT code, etc. to resolve claim edit issues.
  • Prepare, submit, and follow up on redetermination appeals to Medicare

Knowledge, Skills, and Abilities:
  • Ability to analyze complex data, identify patterns, and draw accurate conclusions.
  • High level of accuracy in reviewing medical records and billing data.
  • Ability to analyze claim data, identify billing errors, and troubleshoot complex claim issues.
  • In-depth knowledge of Medicare billing codes, guidelines, and regulations. Familiarity with electronic health record (EHR) systems, billing software, and remittance advice processing and DDE. Strong communication skills, with the ability to explain Medicare billing details and resolve patient concerns effectively.
  • Ability to handle sensitive information and maintain confidentiality in accordance with HIPAA regulations. Detail-oriented with strong organizational skills and the ability to manage multiple accounts simultaneously. Problem-solving abilities, particularly with regard to billing discrepancies and denied claims.

Work Experience, Education, and Certifications:
  • Experience utilizing Payer portals, DDE and client systems
  • 3-5 years of hospital Business Office billing and follow-up experience as a Medicare representative. Medical Terminology, ICD-10, CPT and DRG knowledge a preferred, knowledge of third-party Insurance payer guidelines
  • High school diploma or equivalent

Working Conditions:
Work from home and remote location with a stable internet connection, a quiet and dedicated workspace free of distractions, and access to necessary office equipment. The ability to have daily communication with team members, management, and clients through email, phone calls, video meetings and other collaborative tools. Primarily requires sitting at a desk for extended period. Proper lighting and ergonomics shole be maintained to reduce eye strain.
100% Remote

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