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Medicare Coordinator Jobs (NOW HIRING)

CAI

Medicare Center Coordinator

Lancaster, PA · On-site

$15 - $19/hr

Medicare Center Coordinator Req number: R8209 Employment type: Full time Worksite flexibility: Onsite Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly ...

CAI

Medicare Center Coordinator

Pittsburgh, PA · On-site

$15 - $19/hr

Medicare Center Coordinator Req number: R8219 Employment type: Full time Worksite flexibility: Onsite Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly ...

CAI

Medicare Center Coordinator

Pittsburgh, PA

$15 - $19/hr

Medicare Center Coordinator Req number: R8219 Employment type: Full time Worksite flexibility: Onsite Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly ...

New

CAI

Medicare Center Coordinator

Monroeville, PA · On-site

$15 - $19/hr

Medicare Center Coordinator Req number: R8211 Employment type: Full time Worksite flexibility: Onsite Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly ...

CAI

Medicare Center Coordinator

Pittsburgh, PA · On-site

$15 - $19/hr

Medicare Center Coordinator Req number: R8219 Employment type: Full time Worksite flexibility: Onsite Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly ...

New

CAI

Medicare Center Coordinator

Monroeville, PA · On-site

$15 - $19/hr

Medicare Center Coordinator Req number: R8211 Employment type: Full time Worksite flexibility: Onsite Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly ...

New

CAI

Medicare Center Coordinator

Lancaster, PA · On-site

$15 - $19/hr

Medicare Center Coordinator Req number: R8209 Employment type: Full time Worksite flexibility: Onsite Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly ...

New

CorroHealth

Medicare Specialist

Edit and perform maintenance on Medicare claims. * Follow-up on billed claims in a timely and ... Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ...

BrightSpring

Medicare B Specialist

Louisville, KY · Remote

... coordination, thorough documentation, and successful resolution of authorization requests. The ... Medicare B preferred Remote: May reside anywhere with the Continental USA. Schedule: Monday ...

New

PharMerica

Medicare B Specialist

Louisville, KY · On-site +1

... coordination, thorough documentation, and successful resolution of authorization requests. The ... Medicare B preferred Remote: May reside anywhere with the Continental USA. Schedule: Monday ...

New

PharMerica

Medicare B Specialist

Louisville, KY · Remote

... coordination, thorough documentation, and successful resolution of authorization requests. The ... Medicare B preferred Remote: May reside anywhere with the Continental USA. Schedule: Monday ...

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How much do medicare coordinator jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for medicare coordinator in the United States is $24.39, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $28.37 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medicare Coordinator, and why are they important?

To thrive as a Medicare Coordinator, you need thorough knowledge of Medicare regulations, healthcare administration, and case management, typically supported by a degree in healthcare or a related field. Familiarity with electronic medical records (EMRs), Medicare billing systems, and compliance software is essential. Strong communication, attention to detail, and organizational skills help you effectively advocate for patients and coordinate complex care processes. These skills ensure accurate benefits management, regulatory compliance, and high-quality service for Medicare beneficiaries.

What are some common challenges faced by Medicare Coordinators when assisting patients with enrollment and benefits clarification?

Medicare Coordinators often encounter challenges such as navigating complex regulations, keeping up-to-date with frequent policy changes, and addressing patients’ confusion about coverage options. They must communicate clearly to help individuals understand eligibility, enrollment periods, and the differences between Medicare Parts A, B, C, and D. Additionally, Medicare Coordinators regularly collaborate with healthcare providers and insurance companies to resolve billing issues and ensure patients receive the benefits they are entitled to. Staying organized and empathetic is key to overcoming these challenges while delivering excellent support.

What does a Medicare Coordinator do?

A Medicare Coordinator is responsible for helping individuals navigate Medicare benefits and enrollment, ensuring that they receive the appropriate healthcare coverage. They assist with understanding different Medicare plans, resolving billing or coverage issues, and coordinating between patients, healthcare providers, and insurance companies. Their goal is to optimize patient access to services while ensuring compliance with Medicare regulations. This role often requires strong communication and organizational skills.

What is the difference between Medicare Coordinator vs Insurance Specialist?

AspectMedicare CoordinatorInsurance Specialist
Required CredentialsHigh school diploma, Medicare training/certificationHigh school diploma, insurance licensing/certification
Work EnvironmentHealthcare facilities, insurance companiesInsurance agencies, healthcare organizations
Employer & Industry UsagePrimarily in healthcare and insurance sectorsBroader insurance industry, including health, auto, life
Common Search & ComparisonYesYes

The main difference between a Medicare Coordinator and an Insurance Specialist lies in their focus and certifications. Medicare Coordinators specialize in Medicare policies, enrollment, and compliance, often working directly with healthcare providers and patients. Insurance Specialists have a broader scope, handling various insurance types and policies. Both roles require similar credentials and are found in healthcare and insurance settings, but their specific responsibilities and areas of expertise differ.

More about Medicare Coordinator jobs
What cities are hiring for Medicare Coordinator jobs? Cities with the most Medicare Coordinator job openings:
What are the most commonly searched types of Medicare jobs? The most popular types of Medicare jobs are:
What states have the most Medicare Coordinator jobs? States with the most job openings for Medicare Coordinator jobs include:
What job categories do people searching Medicare Coordinator jobs look for? The top searched job categories for Medicare Coordinator jobs are:
Medicare Coordinator jobs near you
Infographic showing various Medicare Coordinator job openings in the United States as of July 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $50,728 per year, or $24.4 per hour.

MEDICARE SPECIALIST (Medicare Billing)

Stance Health Solutions

CA • On-site, Remote

$23.67 - $29.77/hr

Full-time

Re-posted yesterday

Job description

Job Type
Full-time
Description
Position Overview
This position collaborates with global and domestic cross-functional teams (order to cash), including Intake, Customer Care, and Billing, to resolve patient questions, concerns, and issues related to Medicare coverage, claims, denials, and patient responsibility. Responsibilities include inbound and outbound calls, insurance verification & payer change, invoice review, appeals and denial resolution, payment processing, and interpretation of claims and EOBs, all within a compliant, audit-ready framework.
This position operates in a call queue environment and serves as the primary point of contact for inbound patient billing inquiries within the Revenue Cycle Management (RCM) team, with a strong focus on Medicare-related billing, eligibility, and claims resolution. The role is responsible for delivering a high level of patient support while ensuring compliance with Medicare guidelines, CMS requirements, and DMEPOS billing standards.
Key Responsibilities
  • Handle high-volume inbound and outbound calls related to Medicare billing statements, coverage, payment plans, and coordination of benefits (COB)
  • Accurately document all patient interactions, including inquiries, complaints, and resolutions, ensuring compliance with Medicare and internal documentation standards
  • Interpret EOBs and explain Medicare patient responsibility, coverage limitations, and claim outcomes
  • Verify insurance eligibility, benefits, and coverage through payer portals, with a focus on Medicare qualification and active coverage
  • Review and recalculate invoices as needed to ensure alignment with Medicare billing rules and reimbursement guidelines
  • Manage and resolve denials and appeals, ensuring proper documentation and adherence to Medicare requirements for medical necessity and claims processing including Medicare audits.
  • Request and validate clinical documentation, prescriptions, and supporting records required to meet Medicare medical necessity standards
  • Identify and document compliance or non-compliance with treatment requirements, as applicable to Medicare coverage criteria
  • Coordinate with internal teams to ensure claims are clean, accurate, and ready for submission or resubmission
  • Respond to patient communications across multiple channels, including phone, email, portal, and fax
  • Route complex issues to appropriate teams while maintaining ownership of resolution
  • Ensure adherence to HIPAA, confidentiality, and Medicare compliance requirements at all times
  • Follow up on open tasks, worklists, and outstanding issues in a timely manner
  • Support equipment recovery processes when treatment ends or Medicare benefits terminate
  • Maintain knowledge of Medicare billing, reimbursement guidelines, and DMEPOS requirements
  • Identify trends and escalate training or process improvement opportunities
  • Perform other duties and special projects as assigned
  • Developing standard operating procedures for Medicare Order-to Cash.

Qualifications
  • Minimum of 2 years of customer service experience, preferably in a role emphasizing ownership of the customer or patient financial experience
  • Minimum of 2 year of experience in healthcare, with extensive expertise to Medicare billing, RCM, or DMEPOS environments preferred
  • Understanding of healthcare terminology, with working knowledge of Medicare claims, EOBs, and patient responsibility
  • Strong customer service, problem-solving, and critical thinking skills, with the ability to navigate Medicare-related billing and coverage questions
  • Ability to manage high-volume inbound calls and communications while maintaining accuracy and compliance
  • Strong verbal and written communication skills, with the ability to explain Medicare billing, coverage, and denials in a clear and professional manner
  • High attention to detail, with the ability to identify and correct errors related to claims, documentation, and billing accuracy
  • Ability to multitask, prioritize, and follow through in a fast-paced, metrics-driven environment
  • Self-starter with the ability to work independently and collaboratively across teams
  • Flexible and adaptable to changing business needs, particularly in a growing Medicare-focused operation
  • Proficiency in billing systems and Microsoft Office 365; experience with Brightree or similar DME billing platforms preferred

Salary Description
$23.67 to $29.77

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