Medicare Specialist

As a Medicare Specialist, you will be responsible for ensuring the company's compliance with Medicare regulations and optimizing Medicare-related claims processing. This role requires in-depth knowledge of Medicare laws and guidelines, excellent analytical skills, and the ability to communicate effectively with internal teams and external stakeholders. The Medicare Specialist will play a critical role in managing and processing Medicare-related claims, coordinating with various departments to resolve issues, and ensuring accurate and timely reimbursement.
  
Ready to get in the driver’s seat? Join us!

What you’ll do

• Ensure compliance with Medicare regulations and guidelines in all claims processing activities.
• Analyze and manage Medicare-related claims to ensure accuracy and timeliness.
• Coordinate with internal departments, such as claims, legal, and finance, to resolve Medicare-related issues.
• Communicate effectively with external stakeholders, including Medicare representatives and healthcare providers.
• Maintain up-to-date knowledge of Medicare laws, regulations, and best practices.
• Develop and implement strategies to optimize Medicare reimbursement processes.
• Prepare and submit reports on Medicare claims processing and compliance.
• Provide training and support to internal teams on Medicare-related matters.
• Identify and address potential risks and compliance issues related to Medicare.
• Collaborate with the other departments to ensure accurate data management and reporting for Medicare claims.

This might describe you

• Bachelor’s degree in a related field (e.g., healthcare administration, finance, or law).
• In-depth knowledge of Medicare laws and guidelines.
• Experience in claims processing or a related field, preferably within the insurance industry.
• Excellent analytical and problem-solving skills.
• Strong communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Detail-oriented with strong organizational skills.
• Proficiency in Microsoft Office Suite and claims management software.
• Certified Medicare Secondary Payer Professional (CMSP) designation is a plus.

Other things to note

• This position may require occasional travel to attend industry conferences or training sessions.
• We offer a competitive salary and benefits package, including health insurance, retirement plans, and opportunities for professional development.
• We are committed to creating an inclusive and diverse workplace and encourage candidates from all backgrounds to apply.
• This position is open to U.S. remote work.
• Familiarity with public company requirements, including Sarbanes Oxley and key regulations, if applicable. For SOX compliant roles, responsible for designing, executing, and documenting internal controls where they have been identified as owners to prevent errors in financial reporting, processes, and business operations. Including attestation to the completeness, accuracy, and compliance of all financial reporting data, where applicable. 

Say hello to Hagerty

Hagerty is an automotive enthusiast brand and the world’s largest membership organization for car lovers. Along with being a best-in-class provider of specialty insurance for enthusiasts, Hagerty is also home to Hagerty Drivers Club, and so much more. Committed to saving driving for future generations, each and every thing Hagerty does is dedicated to the love of the automobile. 

Hagerty is a rapidly growing company that values a winning culture. We provide meaningful work for, and invest in, every single team member.  

At Hagerty, we share the road. We are an inclusive automotive community where all are welcomed, valued and belong regardless of race, gender, age or car preference.  We are united by our shared passion for driving, our commitment to preserve car culture for future generations and our desire to make a positive impact in the world. 

If you reside in the following jurisdictions: Illinois, Colorado, California, Washington, New York, or Jersey City, New Jersey, British Columbia, Canada please email recruiting@hagerty.com for compensation.  

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If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!