Medicare Specialist
Medicare Specialist
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Job Description
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Job Title
Medicare Specialist - RemoteRequisition Number
R7261 Medicare Specialist - Remote (Open)Location
Oklahoma City OklahomaAdditional Locations
Alabama - Home Teleworkers Alabama - Home Teleworkers Arizona - Home Teleworkers Arkansas - Home Teleworkers California - Home Teleworkers Colorado - Home Teleworkers Connecticut - Home Teleworkers Delaware - Home Teleworker District of Columbia - Home Teleworkers Florida - Home Teleworkers Georgia - Home Teleworkers Idaho - Home Teleworkers Illinois - Home Teleworkers Indiana - Home Teleworkers Iowa - Home Teleworkers Kansas - Home Teleworker Kentucky - Home Teleworkers Louisiana - Home Teleworkers Maine Home Teleworkers Maryland - Home Teleworkers Massachusetts - Home Teleworkers Michigan - Home Teleworkers Minnesota - Home Teleworkers Mississippi - Home Teleworker Missouri - Home Teleworker 20 moreJob Information
CSAA Insurance Group (CSAA IG) a AAA insurer is one of the top personal lines property and casualty insurance groups in the U.S. Our employees proudly live our core beliefs and fulfill our enduring purpose to help members prevent prepare for and recover from lifes uncertainties and were proud of the culture we create together. As we commit to progress over perfection we recognize that every day is an opportunity to be innovative and adaptable. At CSAA IG we hire good people for a brighter tomorrow. We are actively hiring for a Medicare Specialist! Join us and support CSAA IG in achieving our goals.
Your role:
As a Medicare Specialist you will handle first- and third-party injury claims where a Medicare beneficiary has been identified. You will be assigned claims of all levels of complexity including catastrophic as well as claims in multiple states. You will be responsible for facilitating proper Medicare reporting and ensuring Section 111 compliance. You will also review Medicare liens and dispute charges on liens that are not associated with the loss.
Your work:
- Validates information on all medical claims received. Ensures there is no missing or incomplete information and keeps meticulous records of claims. Advises customer on Medicare process as it relates to the loss; explains the claim process and collects required information.
- Research to determine Medicare eligibility for injured parties on claims that are undetermined.
- Coordinates the final Medicare lien with the owning adjuster on third-party claims and supports Medicare portion of claim through litigation if necessary.
- Research Medicare liens and reviews injury file to ensure treatment on the liens are related to the accident. Files and may resolve disputes with Medicare on treatment not associated with the loss.
Required Experience Education and Skills:
- 1-2 years of medical billing experience
- High School Diploma/GED or equivalent combination or education and experience required.
- Depending on assignment may be required to obtain and maintain Adjusters license (state-specific).
What would make us excited about you
- Knowledge of medical terminology and the ability to understand and assess medical documents is strongly preferred.
- Experience handling first-party medical claims is preferred.
- Negotiating skills and the ability to develop effective negotiating strategies.
- Strong analytical problem-solving and organizational skills.
- Ability to work independently and function in a team environment.
- Strong decision-making ability.
- A passion for helping customers.
- Basic math and computer skills. The ability to type 30 words per minute is a requirement.
- Proficient oral and written communication skills and good command of the English language.
- Bilingual a plus!
- Shows respect for differences through excellent communication skills with people from an array of backgrounds.
- Actively shapes our company culture (e.g. participating in employee resource groups volunteering etc.).
- Lives into cultural norms (e.g. willing to have cameras when it matters: helping onboard new team members building relationships etc.).
- Travels as needed for role including divisional / team meetings and other in-person meetings.
- Fulfills business needs which may include investing extra time helping other teams etc.
CSAA IG Careers
At CSAA IG were proudly devoted to protecting our customers our employees our communities and the world at large. We are on a climate journey to continue to do better for our people our business and our planet. Taking bold action and leading by example. We are citizens for a changing world and we continually change to meet it.
Join us if you
- BELIEVE in a mission focused on building a community of service rooted in inclusion and belonging.
- COMMIT to being there for our customers and employees.
- CREATE a sense of purpose that serves the greater good through innovation.
Recognition: We offer a total compensation package performance bonus 401(k) with a company match and so much more!Read more about what we offer and what it is like to be a part of our dynamic team at most cases you will have the opportunity to choose your preferred working location from the following options when you join CSAA IG: remote hybrid or in-person. Submit your application to be considered. We communicate via email so check your inbox and/or your spam folder to ensure you dont miss important updates from us.
If a reasonable accommodation is needed to participate in the job application or interview process please contact .
As part of our values we are committed to supporting inclusion and diversity at CSAA IG. We actively celebrate colleagues different abilities sexual orientation ethnicity and gender. Everyone is welcome and supported in their development at all stages in their journey with us.
We are always recruiting retaining and promoting a diverse mix of colleagues who are representative of the U.S. workforce. The diversity of our team fosters a broad range of ideas and enables us to design and deliver a wide array of products to meet customers evolving needs.
CSAA Insurance Group is an equal opportunity employer.
If you apply and are selected to continue in the recruiting process we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location experience or education.
Must have authorization to work indefinitely in the US.
Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska.
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Required Experience:
Unclear Seniority
Employment Type
Full-Time
