Medicare Collections & Recoupment Specialist

Medicare Collections & Account Resolution:

-Manage Medicare accounts receivable for wound care services.

-Monitor Medicare remittance advice for takebacks and adjustments.

-Research and resolve Medicare payment discrepancies related to wound care claims.

Recoupments, Takebacks & Appeals:

-Handle Medicare requests for payment takebacks.

-Review wound care claims and documentation to determine validity of takeback requests.

-Prepare and submit timely redeterminations and appeal packets as appropriate.

Reporting & Compliance:

-Maintain detailed documentation of Medicare collection and recoupment activity.

-Prepare reports on Medicare A/R and appeal success rates.

-Ensure compliance with CMS billing, appeals, and collections regulations.