Medicare Claims

  • Location
    Cincinnati, Ohio
  • Category
    Health Care - General
  • Job reference:
  • Job Type
    Contract/Temp to Hire

Medicare Compliance Specialist 45242 


We are currently seeking a Medicare Compliance Specialist in the Cincinnati area.

The purpose of this position is to coordinate and facilitate Medicare Compliance and Medicare Set-Aside functions.  Complies, reviews and analyzes claim files and managment reports.  Communicates and advises appropriate internal and external stakeholders on Medicare Compliance and Medicare Set-Aside (MSA) matters including, but not limited to, lien negotiation efforts, MSA submissions and/or general information. Maintains thorough understanding of service and products offered by Medicare Compliance department. Analyzes and processes complex claims by investigating and gathering information to determine the exposure on the claims; manages claims through well-developed action plan to an appropriate and timely resolution. Analyzes lien notices for accuracy, communicates with the CMS to efficiently facilitate lien resolutions on claims and/or prepare MSA submissions in accordance with submission guidelines from CMS as assigned.

Strong Claims Management knowledge is required and 4 years of claims management experience. #healthcarerecruitment #healthcarestaffing #ajilon

Are you looking or know someone that would be interested, if so, let's chat! 5138982869 or

Please apply with your CV to:

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Equal Opportunity Employer/Veterans/Disabled.

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