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 email@example.com
Please apply with your CV to: