Claims Medicare Compliance Specialist

This is a fully remote position, open to applicants in New Hampshire.

📋 Description

• Ensure precise maintenance of claim data.

• Execute and analyze Medicare queries.

• Prepare documentation for CMS submissions.

• Investigate discrepancies in reporting.

• Collaborate with claims teams, TPAs, and vendors to address issues.

• Assist in data-quality assessments.

• Support remediation initiatives and meet reporting deadlines.

• Enhance skills related to Medicare insurance claims.

⛳️ Requirements

• Proficient in Excel.

• Detail-oriented.

• Capable of prioritizing tasks in a regulated setting.

• Previous experience or knowledge of Medicare is crucial.

• Ideally possesses a background in operational support, data validation, or compliance.

• Open to obtaining relevant Medicare accreditation or qualification as part of professional growth in the position.

🏝️ Benefits

• Flex First remote work approach enabling employees to perform from any location.

• Regular events and collaboration opportunities.

• Competitive salary and bonus eligibility.

• Medical, EAP, dental, and vision insurance for individuals and families.

• Excellent HSA plan with Compre funding.

• Life Insurance coverage.

• 401k with Company Match.

• Company Off-Site Meetings.

• Expenses covered for remote workers.

• Health and Wellbeing Programs.

• Employee Referral Program.

• Continuous learning opportunities.

• Generous vacation and holiday schedule.

• STD & LTD coverage.