Medicare Compliance Assistant
Company: Sedgwick Claims Management Services, Inc
Location: Richmond
Posted on: January 12, 2021
|
|
Job Description:
Medicare Compliance AssistantIF YOU CARE, THERE'S A PLACE FOR
YOU HEREFor a career path that is both challenging and rewarding,
join Sedgwick's talented team of 21,000 colleagues around the
globe. Sedgwick is a leading provider of technology-enabled risk,
benefits and integrated business solutions. Taking care of people
is at the heart of everything we do. Millions of people and
organizations count on Sedgwick each year to take care of their
needs when they face a major life event or something unexpected
happens. Whether they have a workplace injury, suffer property or
financial loss or damage from a natural or manmade disaster, are
involved in an auto or other type of accident, or need time away
from work for the birth of a child or another medical situation, we
are here to provide compassionate care and expert guidance. Our
clients depend on our talented colleagues to take care of their
most valuable assets -- their employees, their customers and their
property. At Sedgwick, caring counts--. Join our team of creative
and caring people of all backgrounds, and help us make a difference
in the lives of others.Sedgwick's Medicare compliance team assists
clients with Medicare Set-Asides (MSAs) and Medicare liens, which
can impact workers' compensation and general, professional and auto
liability claims. MSAs are reports created with the purpose of
protecting Medicare's future interest in the event of a settlement.
Our examiners use MSAs to negotiate settlements and the amount
should provide funds for the claimant to treat their injury post
settlement. We also assist with Medicare liens, which include any
payments made by Medicare for the benefit of a claimant/plaintiff
between the injury date and the settlement date. Our team reviews
the liens for accuracy and handles any necessary negotiations to
reduce them prior to settlement.PRIMARY PURPOSE: To provide
specialized unit support including updating of non-technical key
data fields in JURIS/Source/Ovation systems for Medicare Compliance
Team; to monitor field office corrections of technical key data
fields; and to provide general data integrity support
activities.ESSENTIAL FUNCTIONS and RESPONSIBILITIES* Communicates
with operations concerning MMSEA issues; provides field support for
MMSEA compliance.* Monitors field compliance on key technical data
for MMSEA Section 111 reporting.* Generates, reviews and identifies
issues in reports related to MMSEA compliance.* Enters and
maintains systems data as required.* Answers examiner questions
related to Medicare Compliance issues (MMSEA, MSA and Medicare
liens).ADDITIONAL FUNCTIONS and RESPONSIBILITIES* Performs other
duties as assigned.* Supports the organization's quality
program(s).QUALIFICATIONSEducation & LicensingHigh school diploma
or GED required.ExperienceOne (1) year experience in office
administration or one (1) one year of claims handling experience or
equivalent combination of experience and education required.
Experience with an insurance company, TPA, broker or consultant
preferred. Proficiency in JURIS preferred.Skills & Knowledge*
Excellent oral and written communication, including presentation
skills * PC literate, including Microsoft Office products *
Analytical and interpretive skills * Strong organizational skills *
Good interpersonal skills * Ability to work in a team environment *
Ability to meet or exceed Performance Competencies WORK
ENVIRONMENTWhen applicable and appropriate, consideration will be
given to reasonable accommodations.Mental: Clear and conceptual
thinking ability; excellent judgment, troubleshooting, problem
solving, analysis, and discretion; ability to handle work-related
stress; ability to handle multiple priorities simultaneously; and
ability to meet deadlinesPhysical: Computer keyboarding, travel as
requiredAuditory/Visual: Hearing, vision and talkingThe statements
contained in this document are intended to describe the general
nature and level of work being performed by a colleague assigned to
this description. They are not intended to constitute a
comprehensive list of functions, duties, or local variances.
Management retains the discretion to add or to change the duties of
the position at any time.Sedgwick--is an Equal Opportunity
Employerand aDrug-Free Workplace
Keywords: Sedgwick Claims Management Services, Inc, Richmond , Medicare Compliance Assistant, Other , Richmond, Virginia
Click
here to apply!
|
Didn't find what you're looking for? Search again!
Other Other JobsDental Hygienist Description: We are a well-established and growing multi-specialty dental practice seeking a RDH to be a part of our team. Our long term RDH is moving out of state It is a full time possition for the right cantidate (more...) Company: Massanutten Dental Team and Oral Surgery Location: Harrisonburg Posted on: 01/16/2021 Geriatrician Needed in Charlottesville, VA Full-Time - $200K - $300K / Description: Geriatricians Needed for Full- and Part-Time Careers with Fast Growing Post-Acute Care Practice Get Your Life Back No Call, No Nights, No Weekends Join Vohra Wound Physicians, the largest and most trusted (more...) Company: Vohra Wound Physicians Location: Charlottesville Posted on: 01/16/2021 Field Supervisor - Charlottesville, VA Description: About LumenLumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, we (more...) Company: Lumen Technologies, Inc Location: Charlottesville Posted on: 01/16/2021 Get New Contractor Work Today - Preview Leads In Your Area Description: Over 25 million homeowners have trusted HomeAdvisor 1800Contractor to help them find quality professionals with the expertise to turn their home improvement Company: HomeAdvisor Location: Charlottesville Posted on: 01/16/2021 Travel Nurse Newborn Nursery RN Description: Travel Nurse Newborn Nursery RN Registered NurseNursery Travel Nurse Jobs Assignments br Looking for a Newborn Nursery travel assignment You are in the right place, the HCEN Network of staffing agencies (more...) Company: RN Travel HealthCare Jobs Location: Harrisonburg Posted on: 01/16/2021 RBI's LDP Summer Internship Program Q&A Session Description: Join us for an opportunity to meet and greet Company: Restaurant Brands International Location: Harrisonburg Posted on: 01/16/2021 Seasonal Travel Nurse Jobs - RN CVOR / CVICU / Cath Lab Description: Travel Nurses Needed - All RN Specialties br Registered Nurses: CathLab, CVOR CVICU Assignmnets br Hospitals are posting their seasonal staffing needs br Would you like to spend the fall / winter (more...) Company: HealthCare Traveler (RN) Location: Charlottesville Posted on: 01/16/2021 NICU RN Neonatal Travel Registered Nurse Description: Travel Nurses Needed - Neonatal RN Specialties br Nationwide NICU Travel Nursing Jobs br Looking for a NICU RN travel assignment You are in the right place, the HCEN Network of staffing agencies (more...) Company: RN Travel HealthCare Jobs Location: Harrisonburg Posted on: 01/16/2021 Telemetry RN - Tele Travel Registered Nurse Description: Travel RN Nursing Jobs br Registered Nurses needed for: br Nationwide Travel Tele, PCU, CCU, Stepdown Nursing JobsHCEN has numerous request for RN Candidates Looking for a Tele RN travel assignment (more...) Company: RN Travel HealthCare Jobs Location: Harrisonburg Posted on: 01/16/2021 Customer Specialist Description: 6055 - Harrisonburg - 2587 S Main Street, Harrisonburg, Virginia, 22801CarMax, the way your career should be Provide an iconic customer experienceEnsuring today's customers can buy the vehicles they (more...) Company: CarMax Location: Harrisonburg Posted on: 01/16/2021 |