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Remote Medicare Set Aside Jobs (NOW HIRING)

Senior Coverage Solutions LLC

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Medicare Sales Representative

Houston, TX · Remote

... set your schedule, work from anywhere (remote, office, or hybrid), and build your own business ... Medicare Advantage Medicare Supplement Prescription Drug Plans Ancillary products: Dental, vision ...

Wider Circle

Medicare Sales - Outreach Liaison

$17 - $18/hr

Ask Claire is looking for a remote telephonic Outreach Specialist to join our fast-paced team to ... You have a flexible schedule, with the ability to work a set, recurring 40-hour schedule, with ...

Centene

Sales Representative (Medicare)

$48K - $82K/yr

This is a remote, field-based role-not a work-from-home position-and requires participation in ... Keep informed and adhere to current information pertaining to marketing activity guidelines set ...

Centene

Sales Representative (Medicare)

$48K - $82K/yr

This is a remote, field-based role, and requires community outreach, member engagement, and ... Keep informed and adhere to current information pertaining to marketing activity guidelines set ...

Centene

Sales Representative (Medicare)

Manhattan, NY · On-site +1

$48K - $82K/yr

This is a remote, field-based role, and requires community outreach, member engagement, and ... Keep informed and adhere to current information pertaining to marketing activity guidelines set ...

Centene

Sales Representative (Medicare)

Plantation, FL · On-site +1

$48K - $82K/yr

This is a remote, field-based role, and requires community outreach, member engagement, and ... Keep informed and adhere to current information pertaining to marketing activity guidelines set ...

Centene

Sales Representative (Medicare)

Sunrise, FL · On-site +1

$48K - $82K/yr

This is a remote, field-based role, and requires community outreach, member engagement, and ... Keep informed and adhere to current information pertaining to marketing activity guidelines set ...

Centene

Sales Representative (Medicare)

New Hampton, NY · On-site +1

$48K - $82K/yr

This is a remote, field-based role, and requires community outreach, member engagement, and ... Keep informed and adhere to current information pertaining to marketing activity guidelines set ...

Centene

$48K - $82K/yr

This is a remote, field-based role, and requires community outreach, member engagement, and ... Keep informed and adhere to current information pertaining to marketing activity guidelines set ...

Centene

$48K - $82K/yr

This is a remote, field-based role, and requires community outreach, member engagement, and ... Keep informed and adhere to current information pertaining to marketing activity guidelines set ...

Centene

Sales Representative (Medicare)

New York, NY · On-site +1

$48K - $82K/yr

This is a remote, field-based role, and requires community outreach, member engagement, and ... Keep informed and adhere to current information pertaining to marketing activity guidelines set ...

Centene

Sales Representative (Medicare)

New York, NY · On-site +1

$48K - $82K/yr

This is a remote, field-based role, and requires community outreach, member engagement, and ... Keep informed and adhere to current information pertaining to marketing activity guidelines set ...

Centene

Sales Representative (Medicare)

$48K - $82K/yr

This is a remote, field-based role, and requires community outreach, member engagement, and ... Keep informed and adhere to current information pertaining to marketing activity guidelines set ...

Centene

$48K - $82K/yr

This is a remote, field-based role, and requires community outreach, member engagement, and ... Keep informed and adhere to current information pertaining to marketing activity guidelines set ...

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Remote Medicare Set Aside information

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How much do remote medicare set aside jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote medicare set aside 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 is the difference between Remote Medicare Set Aside vs Remote Claims Specialist?

AspectRemote Medicare Set AsideRemote Claims Specialist
CredentialsTypically requires knowledge of Medicare rules, healthcare billing, and sometimes certifications in healthcare administrationRequires knowledge of insurance claims processing, healthcare billing, and relevant certifications
Work EnvironmentPrimarily administrative, focused on Medicare compliance and settlement planningAdministrative, handling insurance claims, and customer service
Industry UsageUsed mainly in workers' compensation and personal injury settlementsUsed across insurance, healthcare, and claims processing industries

While both roles involve healthcare and insurance knowledge, a Remote Medicare Set Aside focuses on Medicare compliance and settlement planning, whereas a Remote Claims Specialist handles insurance claims processing. Understanding these differences helps in choosing the right career path or job search focus within healthcare and insurance industries.

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Remote Medicare Set Aside jobs near you
Infographic showing various Remote Medicare Set Aside job openings in the United States as of August 2026, with employment types broken down into 79% Full Time, 17% Part Time, and 4% Contract. Highlights an 81% Physical, 1% Hybrid, and 18% Remote job distribution, with an average salary of $55,676 per year, or $26.8 per hour.

Medicare Specialist

Elevate Patient Financial Solutions

Remote

$22.75 - $28.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 24 days ago

Elevate Patient Financial Solutions rating

7.9

Company rating: 7.9 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

Job description

Elevate Patient Financial Solutions has an exciting career opportunity available as a Medicare Specialist. This position will be Remote. The Full Time schedule for this role will be ­­­­­­­­­­­­­­­­­­Monday - Friday 8AM-5PM CST.

Job Summary
As a Medicare Specialist, you will be instrumental in helping resolve aged medical claims, outstanding claims and denied claims to determine the appropriate course of action. A Medicare Specialist is responsible for the Medicare accounts for multiple hospital or physician groups. These accounts will be assigned by the manager for review and resolution with the use of the Medicare DDE system and Part B websites such as Connex and C-Snap

Essential Duties and Responsibilities
  • Resolve cash generating accounts expeditiously to bring in revenue for the client and the company.
  • Able to review Medicare claims to determine status (UB/HCFA)
  • Able to post adjustments on various facility systems
  • Must have the ability to work denials and appeals in a timely manner
  • Experience in billing electronic claims
  • Driven to resolve claims on first touch
  • Proficiently navigate through CMS.Gov websites as well as the intermediary websites
  • Working knowledge of ICD-9 and ICD-10, CPT, revenue codes, HCPCS and modifiers
  • Able to work in the Medicare DDE/FISS (Direct Data Entry) system: (Hospital only)
    • Check Claim status in DDE
    • Know the condition codes for adjusting and canceling claims
    • Enter/correct/adjust/cancel claims
    • Able to rekey a claim directly into the DDE system
    • Make correction to RTP claims (returned to provider)
    • Able to interpret eligibility information on CWF and HIQA
    • Develops a solid understanding of assigned client processes in order to review and analyze claims and account receivable functions.
  • Include key information in account notes consistently
  • Able to ask questions, if unclear, on facility specifics or company processes.
  • Able to use the appropriate reason and status codes in the company software for each account
  • Able to request the correct information from the appropriate entity when attempting to resolve the account.
  • Maintain the minimum production criteria for the various client assigned
  • Maintain a 5% or less error ratio
  • Regular and timely attendance.
  • Other duties as assigned.
Qualifications and Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.
  • High School Diploma or GED.
  • Some college preferred or college degree.
  • Minimum 1-2 years’ experience in working traditional Medicare claims.
  • Minimum of 1-2 years’ experience in working in DDE Direct Data Entry system.
  • Able to type 50 wpm
  • Team-oriented but also able to work independently
  • Strong organizational skills.
  • Excels at time-management.
  • Able to adapt to change.
  • Proven success at building strong working relationships with coworkers and management.
  • Beneficial to have worked in one or more Health Information Systems: Epic physicians or hospital, Meditech, Invision, AS400, Citrix, IDX, Nextgen, Allscript Physicians or hospital, Centricity, Soarian, Series amp; HBOC Star, Cerner, Practice Plus, TMHP and other Medicaid sites.
  • Remote and Hybrid positions require internet connections that meet the Company’s upload and download speed criteria.
Benefits:

ElevatePFS believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.
  • Medical, Dental amp; Vision Insurance
  • 401K (100% match for the first 3% amp; 50% match for the next 2%)
  • 15 days of PTO
  • 7 paid Holidays
  • 2 Floating holidays
  • 1 Elevate Day (floating holiday)
  • Pet Insurance
  • Employee referral bonus program
  • Teamwork: We believe in teamwork and having fun together
  • Career Growth: Gain great experience to promote to higher roles
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.
The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
ElevatePFS is an Equal Opportunity Employer

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