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 ...
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 ...
Medicare Specialist
Indianapolis, IN · On-site
As a Medicare Specialist within the Shepherd family, you will serve as a knowledgeable support ... High school diploma or equivalent (GED) is required. College degree is preferred, not necessary.
Medicare Specialist
Indianapolis, IN · On-site
As a Medicare Specialist within the Shepherd family, you will serve as a knowledgeable support ... High school diploma or equivalent (GED) is required. College degree is preferred, not necessary.
MEDICARE SPECIALIST SUPERVISOR
Tustin, CA · On-site
$82K - $103K/yr
High School Diploma or GED required. * Associate's or Bachelor's degree in Healthcare ... Advanced knowledge of Medicare Part B regulations, DMEPOS documentation requirements, prior ...
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MEDICARE SPECIALIST SUPERVISOR
Tustin, CA · On-site
$82K - $103K/yr
High School Diploma or GED required. * Associate's or Bachelor's degree in Healthcare ... Advanced knowledge of Medicare Part B regulations, DMEPOS documentation requirements, prior ...
Medicare BPO
Jefferson City, MO · On-site
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 ...
Medicare BPO
Jefferson City, MO · On-site
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 ...
MEDICARE SPECIALIST SUPERVISOR
$82K - $100K/yr
High School Diploma or GED required. * Associate's or Bachelor's degree in Healthcare ... Advanced knowledge of Medicare Part B regulations, DMEPOS documentation requirements, prior ...
MEDICARE SPECIALIST SUPERVISOR
$82K - $100K/yr
High School Diploma or GED required. * Associate's or Bachelor's degree in Healthcare ... Advanced knowledge of Medicare Part B regulations, DMEPOS documentation requirements, prior ...
As a Medicare Specialist within the Shepherd family, you will serve as a knowledgeable support ... High school diploma or equivalent (GED) is required. College degree is preferred, not necessary.
As a Medicare Specialist within the Shepherd family, you will serve as a knowledgeable support ... High school diploma or equivalent (GED) is required. College degree is preferred, not necessary.
Medicare B Specialist
Louisville, KY · Remote
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 ...
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Medicare B Specialist
Louisville, KY · Remote
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 ...
Medicare B Specialist
Louisville, KY · On-site +1
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 ...
Medicare B Specialist
Louisville, KY · On-site +1
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 ...
Medicare B Specialist
Louisville, KY · Remote
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 ...
Medicare B Specialist
Louisville, KY · Remote
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 ...
Medicare B Specialist
Louisville, KY · Remote
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 ...
Medicare B Specialist
Louisville, KY · Remote
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 ...
Medicare B Specialist
Louisville, KY · Remote
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 ...
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Medicare B Specialist
Louisville, KY · Remote
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
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
Medicare Biller
$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
$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 ...
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 Sales Representative
New York, NY · On-site
$35 - $45/hr
Must have a High School Diploma or equivalency; College Degree or coursework preferred. * Must ... Medicare Sales experience preferred. * Bi-Lingual and Multi-Lingual a plus. Required Skills
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Medicare Sales Representative
New York, NY · On-site
$35 - $45/hr
Must have a High School Diploma or equivalency; College Degree or coursework preferred. * Must ... Medicare Sales experience preferred. * Bi-Lingual and Multi-Lingual a plus. Required Skills
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 ...
Medicare Sales Representative
New York, NY · On-site
$35 - $45/hr
Must have a High School Diploma or equivalency; College Degree or coursework preferred. * Must ... Medicare Sales experience preferred. * Bi-Lingual and Multi-Lingual a plus. Required Skills
Medicare Sales Representative
New York, NY · On-site
$35 - $45/hr
Must have a High School Diploma or equivalency; College Degree or coursework preferred. * Must ... Medicare Sales experience preferred. * Bi-Lingual and Multi-Lingual a plus. Required Skills
Medicare Sales Representative
New York, NY · On-site
$35 - $45/hr
Must have a High School Diploma or equivalency; College Degree or coursework preferred. * Must ... Medicare Sales experience preferred. * Bi-Lingual and Multi-Lingual a plus. Required Skills
Medicare Sales Representative
New York, NY · On-site
$35 - $45/hr
Must have a High School Diploma or equivalency; College Degree or coursework preferred. * Must ... Medicare Sales experience preferred. * Bi-Lingual and Multi-Lingual a plus. Required Skills
Medicare Sales Rep II
New York, NY · On-site
$65K/yr
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 ...
Medicare Sales Rep II
New York, NY · On-site
$65K/yr
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 ...
Licensed Medicare Sales Representative | TEXAS
Frisco, TX · On-site
$23/hr
High School Diploma or GED. * Strong knowledge of Medicare Advantage, Medicare Supplement, Prescription Drug Plans (PDP), and Annual Enrollment Period (AEP) processes. * Excellent consultative sales ...
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Licensed Medicare Sales Representative | TEXAS
Frisco, TX · On-site
$23/hr
High School Diploma or GED. * Strong knowledge of Medicare Advantage, Medicare Supplement, Prescription Drug Plans (PDP), and Annual Enrollment Period (AEP) processes. * Excellent consultative sales ...
Medicare School information
See salary details
$14.66 - $17.64
4% of jobs
$20.30 is the 25th percentile. Wages below this are outliers.
$17.64 - $20.61
23% of jobs
$20.61 - $23.58
12% of jobs
The median wage is $25.22 / hr.
$23.58 - $26.55
20% of jobs
$28.29 is the 75th percentile. Wages above this are outliers.
$26.55 - $29.52
27% of jobs
$29.52 - $32.50
9% of jobs
$32.50 - $35.47
0% of jobs
$35.47 - $38.44
0% of jobs
$38.44 - $41.41
0% of jobs
$41.41 - $44.38
2% of jobs
$44.38 - $47.36
2% of jobs
$14
$26
$47
How much do medicare school jobs pay per hour?
What are some common challenges faced by instructors in a Medicare School, and how can they effectively address them?
What is the difference between Medicare School vs Medicare Insurance Agent?
| Aspect | Medicare School | Medicare Insurance Agent |
|---|---|---|
| Credentials | Typically requires Medicare-specific training or certification programs | Requires state licensing and Medicare certification |
| Work Environment | Educational setting, classroom or online training | Fieldwork, client meetings, and insurance offices |
| Employer & Industry | Educational institutions or training providers | Insurance companies, brokerages, or independent agents |
| Search & Comparison Intent | Learning about Medicare training programs | Understanding 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?
What is Medicare School?

Job description
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
About Ovation Healthcare
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Brentwood, TN, US