Reimbursement Specialist (ID #512716)

Medicare/Medicaid Claims Specialist3-5+ years of experience understanding Medicare/Medicaid requirements Pay Range: $20–$22/hr Role Responsibilities: Submit CMS-1500 claims for custom orthotics, prosthetics, and durable medical equipment (DME), utilizing specific HCPCS codes/modifiers. Investigate denied claims, analyze denial trends and prepare appeals backed by clinical documentation Ensure compliance with Medicare's Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), and prior authorization