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Medicare School Jobs (NOW HIRING)

The Medicare Specialist is responsible for managing the billing and collection processes for ... High school diploma or equivalent Working Conditions: Work from home and remote location with a ...

Minimum of a High School Diploma or equivalent credential required. * Preferred candidates will have 3 or more years of Medicare claims data entry experience within healthcare settings. * Background ...

High School Diploma or GED; Associate degree desired * Two years billing and/or collections experience; Medicare B preferred * Familiarity with standard concepts, practices, and procedures with ...

High School Diploma or GED; Associate degree desired * Two years billing and/or collections experience; Medicare B preferred * Familiarity with standard concepts, practices, and procedures with ...

High School Diploma or GED; Associate degree desired * Two years billing and/or collections experience; Medicare B preferred * Familiarity with standard concepts, practices, and procedures with ...

High School Diploma or GED equivalent * Two years (2) experience resolving medical Medicare claims * Knowledge of Medicare and/or Medicaid payors * Familiarity with CPT and ICD-10 coding preferred

A high school diploma or equivalent is required. Must have experience with billing/claim submission ... At least five years of experience using DDE for Medicare, including submitting corrections and ...

Medicare Biller

Salida, CA · On-site

$22 - $26/hr

A high school diploma or equivalent is required. Must have experience with billing/claim submission ... At least five years of experience using DDE for Medicare, including submitting corrections and ...

Medicare Biller

Salida, CA · On-site

$22 - $26/hr

A high school diploma or equivalent is required. Must have experience with billing/claim submission ... At least five years of experience using DDE for Medicare, including submitting corrections and ...

Must have a High School Diploma or GED, College Degree or coursework preferred * 3-5 years of Sales/Customer Relations experience required * Medicare Sales experience preferred * Public speaking ...

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Medicare School information

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$14

$26

$47

How much do medicare school jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for medicare school in the United States is $26.77, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $28.85 per hour, depending on experience, location, and employer.

What are some common challenges faced by instructors in a Medicare School, and how can they effectively address them?

Instructors at a Medicare School often encounter challenges such as ensuring students grasp complex Medicare regulations, keeping up with frequent policy changes, and addressing the diverse learning needs of adult learners. To effectively address these challenges, instructors can utilize a variety of teaching tools, provide real-world scenarios, and participate in ongoing professional development to stay current with regulations. Collaboration with other faculty members and open communication with students also help create a supportive learning environment.

What is the difference between Medicare School vs Medicare Insurance Agent?

AspectMedicare SchoolMedicare Insurance Agent
CredentialsTypically requires Medicare-specific training or certification programsRequires state licensing and Medicare certification
Work EnvironmentEducational setting, classroom or online trainingFieldwork, client meetings, and insurance offices
Employer & IndustryEducational institutions or training providersInsurance companies, brokerages, or independent agents
Search & Comparison IntentLearning about Medicare training programsUnderstanding roles and requirements of Medicare insurance sales

Medicare School focuses on providing training and education about Medicare, often in classroom or online settings. In contrast, a Medicare Insurance Agent actively sells and manages Medicare plans, requiring licensing and client interaction. Both roles are essential in the Medicare industry but serve different functions in the healthcare and insurance sectors.

What are the key skills and qualifications needed to thrive as a Medicare School instructor?

To thrive as a Medicare School Instructor, you need in-depth knowledge of Medicare regulations, insurance products, and educational methodologies, often backed by experience in healthcare or insurance and relevant certifications. Familiarity with presentation software, online learning platforms, and Medicare resources is important for delivering effective instruction. Strong communication, patience, and the ability to simplify complex topics are valuable soft skills that help engage and educate diverse learners. These skills ensure accurate, accessible education on Medicare, empowering participants to make informed decisions about their healthcare coverage.

What is Medicare School?

Medicare School is an educational resource designed to help individuals understand Medicare, the federal health insurance program for people aged 65 and older and certain younger individuals with disabilities. It provides comprehensive information about the different parts of Medicare, enrollment periods, coverage options, and how to choose the right plan based on personal needs. Medicare School offers workshops, online courses, and guides to empower beneficiaries to make informed decisions about their healthcare coverage.
More about Medicare School jobs
What cities are hiring for Medicare School jobs? Cities with the most Medicare School job openings:
What states have the most Medicare School jobs? States with the most job openings for Medicare School jobs include:
Infographic showing various Medicare School job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 71% In-person, and 29% Remote job distribution, with an average salary of $55,676 per year, or $26.8 per hour.

Full-time

Re-posted 24 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