Remote Medicare Claims Compliance Specialist

Compre Group; Manchester (NH, CT); Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Flex First

Remote worker expenses

Health insurance

Dental & Vision insurance

401k with company match

Life Insurance

Time off

Job summary

Compre Group in the United States seeks a Claims Medicare Compliance Specialist to support Medicare reporting and compliance across North America. This is a full-time role with remote work options and opportunities for professional growth.

You will collaborate with Claims teams, TPAs and vendors to maintain accurate data, prepare CMS submissions, investigate reporting exceptions, and help drive data-quality initiatives while pursuing Medicare accreditation as part of your development.

Qualifications

• Strong Excel skills and attention to detail in a regulated environment.
• Medicare experience or knowledge is essential.
• Willingness to pursue Medicare accreditation or qualification.

Responsibilities

• Maintain accurate claim data and run Medicare queries.
• Prepare records for CMS submissions and investigate reporting exceptions.
• Collaborate with claims teams, TPAs and vendors to resolve issues and support data-quality reviews.

Skills

Excel

Medicare knowledge

Job description

Compre Group in the United States seeks a Claims Medicare Compliance Specialist to support Medicare reporting and compliance across North America. This is a full-time role with remote work options and opportunities for professional growth.

You will collaborate with Claims teams, TPAs and vendors to maintain accurate data, prepare CMS submissions, investigate reporting exceptions, and help drive data-quality initiatives while pursuing Medicare accreditation as part of your development.