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Medicare Claims Representative Jobs (NOW HIRING)

Medicare Specialist

$22.75 - $28.50/hr

Able to review Medicare claims to determine status (UB/HCFA) * Able to post adjustments on various ... The requirements listed below are representative of the knowledge, skill, and/or abilities. * High ...

Medicare Specialist

$22.75 - $28.50/hr

Able to review Medicare claims to determine status (UB/HCFA) * Able to post adjustments on various ... The requirements listed below are representative of the knowledge, skill, and/or abilities. * High ...

Medicare Specialist

$22.75 - $28.50/hr

Able to review Medicare claims to determine status (UB/HCFA) * Able to post adjustments on various ... The requirements listed below are representative of the knowledge, skill, and/or abilities. * High ...

$72K - $109K/yr

MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal ... Oversee Medicare compliance initiatives, including Medicare Set-Asides and CMS engagement.

$72K - $109K/yr

MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal ... Oversee Medicare compliance initiatives, including Medicare Set-Asides and CMS engagement.

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Medicare Claims Representative information

See salary details

$11

$24

$42

How much do medicare claims representative jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for medicare claims representative in the United States is $24.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.

What are popular job titles related to Medicare Claims Representative jobs?

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

Medicare Follow-up Specialist - Billing

Holyoke, MA โ€ข On-site

$18.50 - $23.50/hr

Other

This job post hasย expired today.ย Applications are no longer accepted.


Job description

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.