Medicare Claims Compliance Specialist — Remote

Compre Group; New Hampshire; Remote; USD 75,000 - 110,000; Full time

Benefits offered by this job

Flex First

Remote work

Health insurance

401k with company match

Bonus eligible

Job summary

Compre Group is seeking a Medicare Compliance Specialist to support Medicare reporting and compliance. The role is remote with North America coverage, based in the USA (New Hampshire). You will help manage Medicare queries, CMS submissions, and data-quality initiatives within a Claims environment.

This is a development-friendly role, offering opportunities to gain Medicare accreditation and grow in a regulated setting, with strong Excel capabilities and attention to detail required.

Qualifications

• Strong Excel skills and attention to detail are essential.
• Experience or knowledge of Medicare is essential.
• Ability to manage priorities in a regulated environment.

Responsibilities

• Maintain accurate claim data, run and review Medicare queries, and prepare records for CMS submissions.
• Investigate reporting exceptions and collaborate with claims teams, TPAs and vendors to resolve issues.
• Support data-quality reviews, remediation projects and meet reporting deadlines.

Skills

Excel skills

Data validation

Attention to detail

Regulated environment

Tools

CMS portals

Job description

Compre Group is seeking a Medicare Compliance Specialist to support Medicare reporting and compliance. The role is remote with North America coverage, based in the USA (New Hampshire). You will help manage Medicare queries, CMS submissions, and data-quality initiatives within a Claims environment.

This is a development-friendly role, offering opportunities to gain Medicare accreditation and grow in a regulated setting, with strong Excel capabilities and attention to detail required.