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Medicare Office Jobs (NOW HIRING)

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 ...

American Advanced Management

Medicare Biller

Salida, CA · On-site

$22 - $26/hr

POSITION SUMMARY Under general supervision of the CFO and/or Business Office Manager, the Biller ... Resubmit claims, file appeals/denials, and demonstrate in-depth knowledge of Medicare, Medi-Cal and ...

AMERICAN ADVANCED MANAGEMENT

Medicare Biller

Salida, CA

$22 - $26/hr

POSITION SUMMARY Under general supervision of the CFO and/or Business Office Manager, the Biller ... 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

POSITION SUMMARY Under general supervision of the CFO and/or Business Office Manager, the Biller ... Resubmit claims, file appeals/denials, and demonstrate in-depth knowledge of Medicare, Medi-Cal and ...

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Medicare Office information

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How much do medicare office jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for medicare office in the United States is $21.58, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $23.32 per hour, depending on experience, location, and employer.

Does Medicare hire remote workers?

Medicare offices, which are part of the federal government, sometimes offer remote or telework positions, especially for customer service, administrative, and claims processing roles. These jobs often require relevant skills, security clearances, and adherence to federal telework policies. Availability varies based on agency needs and current government hiring practices.

How to become a Medicare reviewer?

To become a Medicare reviewer, candidates typically need a background in healthcare, such as nursing, medical coding, or health administration. Relevant certifications like Certified Professional Coder (CPC) or Medicare-specific training can be beneficial, and strong attention to detail and knowledge of Medicare policies are essential for evaluating claims and documentation.

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

To thrive as a Medicare Office Administrator, you need a solid understanding of Medicare regulations, healthcare administration, and billing processes, often supported by a degree in healthcare administration or related experience. Familiarity with Medicare claims processing software, electronic health records (EHR) systems, and compliance tools is essential. Strong organizational skills, attention to detail, and effective communication set top performers apart in this role. These skills ensure accurate claims management, regulatory compliance, and smooth interactions with patients, providers, and government agencies.

What are some common challenges faced by employees working in a Medicare office, and how can they be addressed?

Employees in a Medicare office often encounter challenges such as staying up-to-date with frequent policy changes, assisting clients with complex eligibility or claims issues, and managing a high volume of inquiries. To address these, effective ongoing training, clear communication protocols, and strong teamwork are essential. Additionally, leveraging digital tools and resources can help streamline processes, making it easier to provide timely and accurate support to clients.

What is the difference between Medicare Office vs Medicare Customer Service Representative?

AspectMedicare OfficeMedicare Customer Service Representative
Required CredentialsKnowledge of Medicare policies, customer service skillsSame as Medicare Office, often with additional certifications
Work EnvironmentOffice setting, Medicare facilitiesCall centers, customer support centers
Employer & Industry UsageMedicare agencies, government officesInsurance companies, healthcare providers
Common Search & ComparisonOften compared for roles in Medicare supportCustomer support roles in Medicare services

Medicare Office and Medicare Customer Service Representative roles share similar credentials and work environments, focusing on Medicare policies and customer support. The main difference lies in the setting: Medicare Offices are physical locations, while Customer Service Representatives typically work in call centers. Both roles are essential in the Medicare industry, serving different customer interaction points.

What is the highest paying medical office job?

In a Medicare office, the highest paying roles are typically senior management positions such as Medical Directors or Office Managers with extensive experience. These roles often require advanced certifications, strong leadership skills, and knowledge of healthcare regulations, and they can offer salaries exceeding $100,000 annually.

What is a Medicare office?

A Medicare office is a facility where individuals can get assistance with Medicare enrollment, questions, and claims. Staff members often provide guidance on coverage options, eligibility, and related services, and may require knowledge of healthcare policies and documentation processes.
More about Medicare Office jobs
What cities are hiring for Medicare Office jobs? Cities with the most Medicare Office job openings:
What states have the most Medicare Office jobs? States with the most job openings for Medicare Office jobs include:
What job categories do people searching Medicare Office jobs look for? The top searched job categories for Medicare Office jobs are:
Medicare Office jobs near you
Infographic showing various Medicare Office job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 78% Full Time, 15% Part Time, and 4% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $44,889 per year, or $21.6 per hour.

MEDICARE SPECIALIST (Medicare Billing)

Stance Health Solutions

CA • On-site, Remote

$23.67 - $29.77/hr

Full-time

Posted 23 days ago

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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