Remote Medicare Submissions Specialist

Paycom - ATS; Lawrenceville (GA); Remote; USD 42,000 - 66,000; Full time

Benefits offered by this job

Medical, Vision, Dental Benefits

Paid Time Off

401k

Job summary

ECS seeks a Remote Submissions Specialist to manage Medicare Set-aside allocations for CMS submissions. You will review reports, assess claimant Medicare status, and ensure timely, accurate submissions in line with CMS guidelines.

Role requires 1+ year in Medicare-related admin work, solid knowledge of medical terms, and strong communication with claimants, adjusters, and attorneys. Remote role with standard M-F 8–5 schedule.

Qualifications

• Minimum 1 year in an administrative role with Medicare Secondary Payer experience.
• Experience in Medical, Pharmaceutical, or Insurance fields.
• MSCC certification preferred but not required.
• Strong knowledge of medical terminology, medications and lab values.
• Ability to perform basic arithmetic and use MS Excel for reports.

Responsibilities

• Review MSA Reports and CMS requirements for submissions.
• Communicate status with adjusters, attorneys, and account executives.
• Maintain diaries for caseload and run reports as needed.
• Ensure CMS and state mandates compliance in submissions.
• Revise submissions after QC reviews and recommendations.

Skills

Strong communication

Medicare knowledge

Data entry accuracy

MSCC certification (preferred)

Medical terminology

Education

High School Diploma or Equivalent

Tools

Microsoft Word

Outlook

Excel

Internet/Search

Job description

ECS seeks a Remote Submissions Specialist to manage Medicare Set-aside allocations for CMS submissions. You will review reports, assess claimant Medicare status, and ensure timely, accurate submissions in line with CMS guidelines.

Role requires 1+ year in Medicare-related admin work, solid knowledge of medical terms, and strong communication with claimants, adjusters, and attorneys. Remote role with standard M-F 8–5 schedule.