Medicare Facilitator

Erie Insurance; Erie (Erie County); Remote; USD 39,000 - 63,000; Full time

Job summary

An established industry player is seeking dedicated individuals to join their Corporate Claims Department. This role focuses on evaluating and processing Medicare claims, ensuring compliance with federal regulations. As part of a diverse and inclusive team, you will work from home within the ERIE footprint, contributing to a culture that values service and innovation. The company offers a comprehensive benefits package, including health coverage, a pension plan, and opportunities for career development. If you have a passion for helping others and a keen eye for detail, this is the perfect opportunity for you.

Benefits

Health, prescription, dental, and vision benefits

Pension plan

401(k) with contribution match

Paid time off

Tuition reimbursement program

Company-paid life insurance

Short- and long-term disability insurance

Paid volunteer hours

Qualifications

• High school diploma or equivalent required.
• Two years of prior claims handling or claims support experience preferred.

Responsibilities

• Processes Medicare claims referrals.
• Assists claim handlers with Medicare related communications.
• Collaborates with claim handler to maintain compliance with Medicare reporting.

Skills

Claims Handling

Medical Terminology

Customer Service

Data Entry

Education

High School Diploma

Job description

Division or Field Office:

Claims Division
Department of Position: Corporate Claims Department
Work from:
Home within the ERIE footprint Salary Range:
$39,334.00-$62,833.00*

salary range is for thislevel and may vary based on actual level of role hired for

*This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired.Position may be eligible for an annual bonus payment.

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia.

Benefits That Go Beyond The Basics

We strive to be Above all in Service to our customers-and to our employees. That's why Erie Insurance offers you an exceptional benefits package, including:

• Premier health, prescription, dental, and vision benefits for you and your dependents.Coverage begins your first day of work.
• Low contributions to medical and prescription premiums.We currently pay up to 97% of employees' monthly premium costs.
• Pension.We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service.
• 401(k) with up to 4% contribution match.The 401(k) is offered in addition to the pension.
• Paid time off.Paid vacation, personal days, sick days, bereavement days and parental leave.
• Career development.Including a tuition reimbursement program for higher education and industry designations.

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.

Position Summary

Evaluates and processes claims tasks related to Section 111 Medicare reporting.

• 3 positions are available.
• The successful candidate will work from home and must live within the ERIE Footprint.

Duties and Responsibilities

• Processes Medicare claims referrals.
• Assists claim handlers with Medicare related communications, tasks and/or demands.
• Assists with reviewing and correcting Medicare data fields and/or errors in claims to ensure compliance with Medicare reporting.
• Collaborates with claim handler to maintain compliance with Medicare reporting and recovery requirements.
• Assists with Medicare training.
• Learns and maintains knowledge of Medicare Secondary Payer Act as required by Federal Law.

The first three duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed for the job to be accomplished.

This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident.

Capabilities

• Values Diversity
• Nimble Learning
• Self-Development
• Collaborates
• Customer Focus
• Cultivates Innovation
• Instills Trust
• Optimizes Work Processes
• Ensures Accountability
• Decision Quality

Qualifications

Minimum Educational Requirements

• High school diploma or equivalent required.

Additional Experience

• Two years of prior claims handling or claims support experience preferred.
• Basic understanding of medical terminology and coding preferred.
• Some travel required.

Designations and/or Licenses

• Pursuit of general insurance education preferred.

Physical Requirements

• Lifting/Moving 0-20 lbs; Occasional (<20>
• Lifting/Moving 20-50 lbs; Occasional (<20>
• Ability to move over 50 lbs using lifting aide equipment; Occasional (<20>
• Driving; Rarely
• Pushing/Pulling/moving objects, equipment with wheels; Occasional (<20>
• Manual Keying/Data Entry/inputting information/computer use; Often (20-50%)
• Climbing/accessing heights; Rarely

Nearest Major Market: Erie