Remote Medicare Claims Compliance Specialist

Compre Group; United States; Remote; USD 80,000 - 100,000; Full time

Benefits offered by this job

Competitive salary and bonus eligible

Medical, EAP, dental & vision

HSA plan with Compre funding Life Ins

401k with Company Match

Company Off-Site Meetings

Remote Worker Expenses

Health and Wellbeing Programs

Employee Referral Program

Personal Development

Generous vacation and holiday schedule

Job summary

Compre Group is seeking a Claims Medicare Compliance Specialist to support Medicare reporting and compliance for North America, with remote East Coast flexibility. The role reports to the Claims Compliance and Quality leadership and focuses on maintaining claim data, Medicare query resolution, and CMS submission readiness.

Ideal candidates will bring Medicare knowledge, strong Excel skills, and the ability to manage priorities in a regulated environment.

Qualifications

• This is an excellent development opportunity to build Medicare insurance claims skills.
• You’ll need strong Excel skills, attention to detail and the ability to manage priorities in a regulated environment.
• Having some Medicare experience or knowledge is essential; training toward Medicare accreditation will be provided.

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.
• Support data-quality reviews, remediation projects and reporting deadlines.

Skills

Medicare knowledge

Data validation

Regulatory compliance

Prioritization

Attention to detail

Tools

Excel

CMS submissions tools

Job description

Compre Group is seeking a Claims Medicare Compliance Specialist to support Medicare reporting and compliance for North America, with remote East Coast flexibility. The role reports to the Claims Compliance and Quality leadership and focuses on maintaining claim data, Medicare query resolution, and CMS submission readiness.

Ideal candidates will bring Medicare knowledge, strong Excel skills, and the ability to manage priorities in a regulated environment.