Claims Medicare Compliance Specialist

Reporting to the Claims Compliance and Quality AVP, you’ll help maintain accurate claim data, run and review Medicare queries, prepare records for CMS submissions, investigate reporting exceptions and work with claims teams, TPAs and vendors to resolve issues. You’ll also support data-quality reviews, remediation projects and reporting deadlines.

Fulfil your potential in a collaborative environment with some of the best talent in the industry, while enjoying: · Flex First o Empowering employees to thrive in any location. Our innovative Flex First approach enables employees to perform to their full potential, regardless of their location, while fostering a sense of community through regular events and collaboration. · Benefits o Competitive salary and bonus eligible o Medical, EAP, dental, & vision insurance for individuals and families o Excellent HSA plan with Compre funding Life Insurance o 401k with Company Match o Company Off-Site Meetings o Remote Worker Expenses o Health and Wellbeing Programs o Employee Referral Program · Personal Development o Advancing your professional development through ongoing learning opportunities. · Time Off o Generous vacation and holiday schedule STD & LTD coverage

Claims Medicare Compliance Specialist North America Remote remote East Coast full-time We are a fast-growing global reinsurance speciality company servicing the insurance markets of Lloyd’s, Europe and North America. Due to growth, we’re now looking for our first dedicated Medicare specialist to support Medicare reporting and compliance activity. Key Responsibilities Reporting to the Claims Compliance and Quality AVP, you’ll help maintain accurate claim data, run and review Medicare queries, prepare records for CMS submissions, investigate reporting exceptions and work with claims teams, TPAs and vendors to resolve issues. You’ll also support data-quality reviews, remediation projects and reporting deadlines. Candidate requirements This is an excellent development opportunity for someone to develop their Medicare insurance claims skills, ideally coming from operational support, data validation or compliance. You’ll need strong Excel skills, attention to detail and the ability to manage priorities in a regulated environment. Having some Medicare experience or knowledge is essential. We’ll support you to build your knowledge and complete a relevant Medicare accreditation or qualification as part of your development in the role. Benefits Fulfil your potential in a collaborative environment with some of the best talent in the industry, while enjoying: · Flex First o Empowering employees to thrive in any location. Our innovative Flex First approach enables employees to perform to their full potential, regardless of their location, while fostering a sense of community through regular events and collaboration. · Benefits o Competitive salary and bonus eligible o Medical, EAP, dental, & vision insurance for individuals and families o Excellent HSA plan with Compre funding Life Insurance o 401k with Company Match o Company Off-Site Meetings o Remote Worker Expenses o Health and Wellbeing Programs o Employee Referral Program · Personal Development o Advancing your professional development through ongoing learning opportunities. · Time Off o Generous vacation and holiday schedule STD & LTD coverage Originally posted on Himalayas Claims-Specialist, Medicare-Compliance-Specialist, Compliance-Specialist, Claims-Processor, Healthcare-Compliance, Payer-Compliance-Specialist, Healthcare-Compliance-Specialist