Medicare CMS Submissions Specialist

001 Brown & Brown, Inc; United States; Remote; USD 28,000 - 34,000; Full time

Benefits offered by this job

Health Benefits

401k

Paid Time Off

Disability Insurance

Job summary

IMPAXX is seeking a CMS Submission Coordinator to join a Medicare compliance team supporting the Property/Casualty industry. The role involves managing non-complex CMS submissions, interpreting Medicare requests, and communicating requirements to customers by email and phone.

The ideal candidate will have strong written and verbal communication, customer service focus, attention to detail, and knowledge of the Medicare submission process.

Qualifications

• High school diploma or equivalent.
• Basic working knowledge of Microsoft Outlook, Word, Excel, and PDF software.
• Exceptional telephone etiquette and strong written and verbal communication skills.
• Ability to perform the essential duties of the position satisfactorily, with reasonable accommodation when applicable.
• Ability to 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 clearly 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.
• Strictly adhere to company confidentiality policies and procedures, safeguarding sensitive information at all times.
• Perform other duties as assigned.

Skills

Telephone etiquette

Written communication

Verbal communication

Attention to detail

Confidentiality

Customer service

Education

High school diploma or equivalent

Bachelor’s degree (preferred)

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

PDF software

Job description

IMPAXX is seeking a CMS Submission Coordinator to join a Medicare compliance team supporting the Property/Casualty industry. The role involves managing non-complex CMS submissions, interpreting Medicare requests, and communicating requirements to customers by email and phone.

The ideal candidate will have strong written and verbal communication, customer service focus, attention to detail, and knowledge of the Medicare submission process.