Job Description
Medicare Secondary Payer (MSP) Compliance includes ensuring compliance with Medicare regulations related to workers' compensation and commercial auto claims, coordinating with CMS, reviewing claims to identify potential Medicare beneficiaries, generating and submitting required reports, ensuring data accuracy, resolving transmission errors, tracking reporting status, and maintaining internal logs. EDI Error Resolution & Process Management involves managing EDI errors, analyzing their root cause, collaborating with internal teams, and system enhancements. Risk Management & Penalty Mitigation includes investigating root causes of penalties, identifying compliance risks, and assisting in management of portal systems. The position conducts training sessions, creates SOPs, provides daily support, attends educational conferences, assists with audits, quality control, and filing requirements.
About Pie Insurance
Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie.