Senior Medicare Reconciliation Specialist
1 week ago
Estimated Annual Salary:$70,000 - $90,000
About the Role:
We are seeking a highly skilled Senior Medicare Reconciliation Specialist to join our team at US Tech Solutions. As a key member of our staff augmentation firm, you will play a critical role in ensuring that Medicare Advantage membership enrollment is accurately reconciled.
Key Responsibilities:
- Reconcile CMS and Horizon enrollment records via review of Daily Transaction Reply Reports (DTRR) and the Monthly Membership Reports (MMR).
- Identify and communicate processing performance opportunities.
- Update beneficiary requests for enrollment premium withholding.
- Ensure all discrepancies are resolved within CMS timeframes.
- Prepare case documents for retroactive enrollment updates.
Requirements:
To be successful in this role, you will need:
- A minimum of 5 years health insurance industry or related Medicare experience.
- Excellent oral and written communication skills.
- Strong analytical and problem-solving skills.
- Proficiency in analysis techniques and Access database.
Benefits and Working Environment:
As a valued member of our team, you can expect:
- A competitive estimated annual salary of $70,000 - $90,000.
- An opportunity to work with a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
- A dynamic and supportive working environment that fosters growth and development.
About US Tech Solutions:
US Tech Solutions is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace that values and respects all individuals. Our mission is to provide exceptional talent on-demand and total workforce solutions to clients worldwide.
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