Job Description
Ni2 Health is actively recruiting a Hospital Medicare Biller to join our Billing Team. The ideal candidate is action oriented and looking to learn and grow with Ni2 to advance within the organization. The Hospital Medicare Biller will:
- Process accounts receivable payments and adjustments
- Research and resolve AR discrepancies promptly
- Follow up on outstanding/aged receivables
- Maintain organized AR documentation
- Identify opportunities to improve AR processes
- Have proven experience with hospital inpatient, outpatient, CAH, Method I & II, RHC, and Provider-based billing and AR follow-up knowledge
- Have a solid understanding of billing regulations related to Medicare and Medicare Advantage
- Be able to function independently to complete timely and thorough follow-up on unresolved hospital and physician claims
- Have strong proficiency in managing RTP and denied claims, including the ability to determine the root cause, and providing requested information to health plans to resolve identified issues
- Have a strong proficiency in preparing and submitting appeals and reconsiderations to health plans
- Adapt quickly to proprietary tools and technology
- Other duties as assigned
About the Role:
The AR Specialist | Medicare supports the department in various functions, including supporting accounts receivable processes to drive revenue optimization specific to Medicare accounts. This role is critical in enabling efficient revenue cycle operations through robust AR management. This role involves payment posting, adjustments, AR research, follow-up, reporting, and collaborating on process improvements.
ABOUT NI2 HEALTH, an Infinx Company
At Ni2 Health, you will discover challenges that excite you as you develop professionally and explore different career paths based on your interests and abilities. We reward ambitious, talented individuals with a work environment that fosters creativity, teamwork and collaboration while encouraging fresh thinking away from the way things have always been done.
Breaking the mold is a vital component to what we do at Ni2, and driving sustained value to our clients is paramount. Our team members and clients are completely satisfied with our service-based approach. If you are looking to be mentored as a new graduate, come explore Ni2 Health (www.ni2health.com) and join a team of stars.
A 2025 Great Place to Work®
In 2025, Infinx was certified as a Great Place to Work® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.
APPLICANT REQUIREMENTS AND SKILLS
Applicants must submit a full CV, cover letter and updated resume to be considered.
Position is remote.
Minimum Job Requirements
- 5 years of hospital and physician claims follow-up and denials management
- 3 years of Medicare billing or Medicare follow-up experience
- Proficiency with hospital EMRs: Cerner, Epic, McKesson, CPSI, Meditech, etc.
- Proficiency with various billing systems: Waystar, SSI, Quadax, Availity, etc.
- Proficiency with Medicare DDE system
- Proficiency in MS Excel and MS Outlook
- Excellent written and oral communication skills
- Excellent organizational, time management, and interpersonal skills
Compensation Package
- Hourly wage based on experience
- Full benefits to include 401k with company match, progressive PTO policy with paid holidays
