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Brown & Brown Insurance

Provides risk management and insurance solutions

CMS Submission Coordinator

Claims AdjudicationPosted on Nov 11
Full-timeRemote in USA$20 - $25 /hrRemote

About the Job

Requirements

  • A high school diploma or equivalent is required.
  • Basic working knowledge of Microsoft Outlook, Word, Excel, and PDF software is required.
  • The candidate must have strong written and verbal communication skills and professional telephone etiquette.
  • The candidate must be able to perform the essential duties satisfactorily, with reasonable accommodation when applicable.
  • The candidate must maintain confidentiality and appropriately safeguard sensitive information.

Responsibilities

  • Serve as the primary contact for assigned non-complex CMS submissions, identifying and escalating complex requests as appropriate.
  • Review submission files proactively to confirm receipt of required documentation and information.
  • Analyze Medicare requests and communicate required information and next steps to customers by email and phone.
  • Evaluate development response documentation against Medicare’s requests and communicate anticipated additional requirements to customers.
  • Notify customers of incoming Medicare correspondence within established turnaround times.
  • Respond promptly and professionally to customer calls and emails, addressing questions and concerns throughout the submission process.
  • Communicate CMS submission processes, review thresholds, and relevant product delivery considerations to customers.
  • Engage with Medicare and its contractors to obtain answers to case-specific questions when necessary.
  • Coordinate additional assessments with other IMPAXX teams and collaborate across teams to meet customer needs and internal service standards.
  • Monitor CMS trends and share relevant information with teammates and customers.
  • Review assigned exception reports and prepare a daily Work Condition Report.
  • Escalate customer concerns to the Team Leader, CMS Submissions for review and resolution.
  • Cross-train with teammates in similar roles to provide backup support as needed.
  • Maintain customer trust through timely, diplomatic, professional, and effective communication.
  • Adhere to company confidentiality policies and procedures, safeguarding sensitive information.
  • Perform other duties as assigned.

Desired Qualifications

  • A bachelor’s degree from an accredited university or college is preferred.
  • Working knowledge of Medicare guidelines and Medicare Secondary Payer compliance statutes is preferred.
  • One to three years of experience in workers’ compensation is preferred.
  • Experience managing a caseload is preferred.

About the Company

Brown & Brown Insurance

Provides risk management and insurance solutions

Brown & Brown offers risk management and insurance solutions through Retail and Specialty Distribution. It acts as a broker and advisor, matching customers with coverage, assessing risk, and coordinating policies. The company differentiates itself with a large industry presence, a culture built on integrity and the Power of WE, and a strong commitment to local communities. Its goal is to help customers manage and reduce risk while protecting their assets over the long term.

Company size
5,001-10,000
Company stage
IPO
Headquarters
Leeds, United Kingdom
Founded
1914

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