CMS Submissions Assistant

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Summary

Primary responsibility is to complete CMS Submission Reports and communicate with Medicare and customers regarding submission approvals. Teammate must have a clear understanding of the legal and regulatory concepts of the MSP Compliance statutes to provide our customers with education and options on how to protect Medicare’s interest in their settlements. Works closely with Quality Management team in identifying any new CMS Trends and communicates with Medicare/CMS daily.

Essential Duties and Functions

• CMS Portal Status Checks
  • Performs portal checks to determine status of file
  • Provides teammates updates on status of portal checks using designated email formatting and PDF screenshots of CMS Portal
• WCMSA Submission to CMS Portal
  • Coordinates submission referrals for IMPAXX services on a national basis.
  • Gathers required documentation from file server folders to ensure complete CMS submission
  • Uses MSA submission preparation checklists to confirm all required records are included
  • Uses written checklist to upload MSA submission to CMS portal
  • Completes the submission in a timely manner
  • Consistently correct and careful entry of key case information in Case Management System
  • Completes and saves quality assurance document to file
• CMS Alerts
  • Pulls documents from portal
  • Annotates Case Management System
  • Uploads documents to file on server using correct nomenclature and classification structure
  • Sets review diary in Case Management System for teammates
• Final Settlement Documents
  • Submit final documents to CMS and confirm file is closed; if file is not closed confirm items needed and, where appropriate, communicates such to customer
  • Review final settlement documents to determine whether, based upon jurisdiction, the particular CMS Regional Office will accept the documents and communicates such to customer
• Communication
  • Supports team cohesiveness through on-going diplomatic and effective written and verbal communication to internal and external customers/teammates.
• Any other duties as may be assigned.

Qualifications/ Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Required Qualifications

• Minimum High School Diploma or equivalent
• Proficient with MS Office Suite
• Exceptional telephone demeanor

Preferred

• Bachelor’s degree from an accredited university or college preferred
• 1 – 3 years workers compensation experience
• Experience in managing a case load
• Working knowledge of Medicare guidelines and MSP compliance statutes

We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.