Patient Financial Specialist Senior – Medicare Billing – USA Remote Jobs

Location: Irving, TX (Hybrid/Remote Options May Be Available) Hiring Incentive Available

About the Role

We are seeking a highly skilled Patient Financial Specialist Senior with expertise in Medicare billing to join our revenue cycle team in Irving, TX. In this role, you will be responsible for ensuring accurate and timely billing, claim submission, and reimbursement for Medicare accounts. As a senior-level specialist, you will serve as a subject matter expert, support process improvements, and mentor junior staff.

Key Responsibilities

• Manage the end-to-end Medicare billing process, including claim preparation, submission, and follow-up.
• Review and analyze account activity to ensure compliance with Medicare guidelines and regulations.
• Resolve complex claim denials, underpayments, and appeals in a timely manner.
• Collaborate with payors, patients, and internal departments to resolve outstanding balances.
• Act as a resource and mentor for team members regarding Medicare billing procedures.
• Maintain up-to-date knowledge of Medicare policies, compliance requirements, and industry changes.
• Contribute to revenue cycle performance goals by ensuring accuracy and efficiency in billing operations.

Qualifications & Skills

• High school diploma or equivalent required; associate’s or bachelor’s degree in healthcare administration or related field preferred.
• 3–5 years of Medicare billing and collections experience in a hospital, clinic, or healthcare system.
• In-depth knowledge of Medicare regulations, reimbursement methodologies, and compliance standards.
• Strong analytical, organizational, and problem-solving skills.
• Excellent communication skills with the ability to work collaboratively across departments.
• Proficiency with billing systems, EHR platforms, and Microsoft Office Suite.

Work Environment

• Based in Irving, TX (onsite with potential hybrid/remote flexibility).
• Full-time position, Monday–Friday schedule.
• Team-oriented environment with opportunities to mentor and lead process improvements.

What We Offer

• Competitive salary with hiring incentive available.
• Comprehensive benefits package: health, dental, vision, and retirement plans.
• Paid time off (PTO) and paid holidays.
• Career growth opportunities within a leading healthcare system.
• Training and professional development support.