Senior Medicare Reconciliation Specialist

1 week ago


Newark, New Jersey, United States US Tech Solutions Full time

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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