Sr. Medicare Associate

Sr. Medicare Associate

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Job Description

• Set up new Medicare Lien Resolution (MLR) referrals in the Medicare Compliance System
• Electronically sort and index Medicare mail in the SIR and Medicare Compliance systems
• Responds to questions from examiners about Medicare Compliance processes and products
• Documents activity in MCS; communicates MCS action with examiner via JURIS notes
• Creates daily reports to manage workload and monitors due dates
• Communicates with examiners and defense counsel to resolve technically difficult issues related to obtaining medial records
• Assists in training new departmental colleagues
• Assists with special client projects as needed

Additional Functions and Responsibilities

Qualifications

Education & Licensing

High school diploma or GED required

Experience

One (1) year of general office experience required. Claims or medical records / billing industry experience preferred. Two (2) years of experience as Medicare Associate required. Internal candidates - Minimum 3.25 on most recent performance appraisal.

Skills & Knowledge

Work Environment

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical : Computer keyboarding, travel as required

Auditory / Visual : Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.