Medicare Specialist – Medicare Billing

SG Homecare

Collaborate with global and domestic teams to handle Medicare billing inquiries and issues across various communication channels. Ensure compliance with Medicare guidelines while delivering patient support.

Posted 7/24/2026full-timeRemote • California • 🇺🇸 United StatesJuniorMid-Level💰 $24 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Medicare billing, claims processing, and reimbursement guidelines, with a strong focus on customer service and compliance. Capable of managing high-volume communications while ensuring accuracy and adherence to Medicare standards.

Highest-signal resume keywords

Medicare Billing ExpertiseClaims ProcessingCustomer Service ExperienceProblem-Solving SkillsAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Medicare ClaimsEOB InterpretationInsurance VerificationBilling AccuracyDMEPOS RequirementsRCM KnowledgeDocumentation StandardsDenial ManagementAppeals ProcessingClinical Documentation Validation

Soft Skills

Strong Communication SkillsCritical ThinkingMultitasking AbilitySelf-StarterAdaptability

Tools & Technologies

Microsoft Office 365Billing SystemsBrightreePayer Portals

Industry Keywords

Medicare CompliancePatient ResponsibilityHealthcare TerminologyHIPAA CompliancePatient Financial Experience

About the role

Key responsibilities & impact

Collaborate with global and domestic cross-functional teams to resolve patient questions, concerns, and issues related to Medicare coverage, claims, denials, and patient responsibility
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
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

Requirements

What you’ll need

Minimum of 2 years of customer service experience, preferably in a role emphasizing ownership of the customer or patient financial experience
Minimum of 2 years 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.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account SG Homecare Website LinkedIn All Job Openings 11 - 50 employees 🏥 Healthcare ☁️ SaaS 💰 Private Equity Round on 2022-06 Healthcare
SaaS SG Homecare is California's leader in Durable Medical Equipment and Supplies, with over 20 years of experience in providing essential services like Respiratory Therapies, Custom and Power Mobility solutions, Orthotics and Prosthetics, and Enteral Nutrition. The company focuses on a patient-centric approach, working closely with healthcare providers and organizations to deliver customized care programs that enhance the patient experience. SG Homecare is dedicated to utilizing cutting-edge technology and maintaining strong communication channels to ensure high patient satisfaction and improved health outcomes. Medicare Specialist – Medicare Billing Job not on LinkedIn 🔥 12 minutes ago 🏄 California – Remote 💵 $23 - $29 / hour ⏰ Full Time 🟢 Junior 🟡 Mid-level 📊 Billing Specialist Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Collaborate with global and domestic cross-functional teams to resolve patient questions, concerns, and issues related to Medicare coverage, claims, denials, and patient responsibility
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
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 🎯 Requirements
Minimum of 2 years of customer service experience, preferably in a role emphasizing ownership of the customer or patient financial experience
Minimum of 2 years 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. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Supervisor, Reimbursement – Pre-Billing 🔥 14 hours ago Guardant Health 1001 - 5000 🧬 Biotechnology ⚕️ Healthcare Insurance 💊 Pharmaceuticals Website LinkedIn All Job Openings Supervisor overseeing front-end revenue cycle operations, ensuring operational accuracy and clean claim readiness at Guardant Health. Focused on healthcare revenue cycle management and leadership in patient registration and financial case management. 🇺🇸 United States – Remote 💵 $80.1k - $110.1k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 📊 Billing Specialist 🦅 H1B Visa Sponsor Billing Specialist 🕒 Yesterday Republic Services 10,000+ employees Website LinkedIn All Job Openings Billing Specialist performing complex billing functions and ensuring accuracy in bills at Republic Services. Coordinating with teams and resolving discrepancies in billing for a sustainable future. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 📊 Billing Specialist Billing Specialist 🕒 Yesterday Compass Health Network 1001 - 5000 🏥 Healthcare 🤝 Non-profit 🧘 Wellness Website LinkedIn All Job Openings Billing Specialist responsible for preparing, submitting, and following up on healthcare billing claims. Communicates with payers and patients to resolve account questions and ensure timely processing. 🇺🇸 United States – Remote 💵 $18 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior 📊 Billing Specialist 🦅 H1B Visa Sponsor Licensing and Cloud Billing Administrator 🕒 2 days ago Secur-Serv 1001 - 5000 🔒 Cybersecurity ☁️ SaaS Website LinkedIn All Job Openings Microsoft Licensing & Cloud Billing Administrator managing approximately 1,800 Microsoft 365 subscriptions at Secur-Serv, a managed services provider focusing on IT, print, and hardware services. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 📊 Billing Specialist eBilling Analyst 🕒 2 days ago RR Donnelley 10,000+ employees 🏭 Manufacturing 📣 Marketing Website LinkedIn All Job Openings E-Billing Analyst handling e-billing platform submissions for law firm clients. Collaborating with legal teams and ensuring compliance with billing guidelines in a corporate environment. 🇺🇸 United States – Remote 💵 $18 - $26 / hour ⏰ Full Time 🟢 Junior 📊 Billing Specialist View More Billing Specialist Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs