The posting
Are you interested in joining a team of experienced healthcare experts and have the ability to shape and transform the healthcare delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a better health experience for all consumers. Join our winning culture and help transform Medicare for the millions of people who rely on its services.
Benefits info: * Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire * Short- and long-term disability benefits * 401(k) plan with company match and immediate vesting * Free telehealth benefits * Free gym memberships * Employee Incentive Plan * Employee Assistance Program * Rewards and Recognition Programs * Paid Time Off and Paid Sick Leave
SUMMARY STATEMENT This position is responsible for providing technical guidance to the section's employees responsible for opening, sorting, and distributing all incoming Medicare mail, the sorting, activating, and distribution of all written Medicare inquiries, the sorting of all claims and development response letters, the processing of all mail returned from the post office as undeliverable, and the operation of imaging, OCR Scanning and verifying functions, triaging images to the correct classification, and image QC functions. The incumbent will assist the supervisor in resolving procedural and operational problems and write protocols and guideline changes.
This incumbent is expected to meet quality and production standards established by Management.
ESSENTIAL RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary.
Provides technical, operational and procedural guidance to section employees and subcontractors specifically as it pertains to the opening, sorting, and distributing of incoming Medicare documents. This includes resolving processing problems and issues, assuring section personnel access to current reference materials and assuring consistency and accuracy in processing procedures. The incumbent provides data reports related to mail and incoming documents and advises the Supervisor of system and procedural problems. Monitors all Mailroom inventory and pending documents to ensure they are completed timely and accurately. (60%)
Provides technical and procedural coaching for improved employee performance. This involves evaluating. individual and sectional production and quality data. The incumbent provides for continuous employee. development and/or performance improvement. This includes assisting with performance analysis, monitoring and communicating goal setting, and routine monitoring, mentoring, employee training, reviewing problem areas with employees and orientation and training of new employees. The incumbent also provides input for performance appraisals, maintains quality records, and advises the Supervisor of section personnel having production, quality or other work-related problems. (30%)
Shares responsibility for quality with every other member of Novitas. As part of this responsibility, the incumbent is accountable for identifying quality-related problems and notifying management when they believe quality is being compromised. Furthermore, the incumbent is expected to recommend process improvements designed to improve accuracy, timeliness of processing, and/or eliminate manual effort required. (10%)
Performs other duties as the supervisor may, from time to time, deem necessary.
REQUIRED QUALIFICATIONS * High School Diploma or GED * 1 year work experience; includes experience using a personal computer in a Microsoft Windows or similar environment
PREFERRED QUALIFICATIONS * 1 year experience in Medicare processing
The Federal Government and the Centers for Medicare & Medicaid Services (CMS) may require applicants to have lived in the United States for a minimum of three (3) years out of the last five (5) years to be employed with the Company. These years of residence do not have to be consecutive.
Background Investigation: If you are selected for this position, you must undergo a pre-employment Background Investigation, Drug Screen, and Identity Proofing documentation must be cleared prior to hire. Most positions are subject to additional Identity Proofing, Fingerprinting and additional Background Investigation screening conducted by the Federal Government to be granted Enterprise User Administration (EUA) system logical access after you begin your employment. Your continued employment is contingent upon the outcome of the complete additional screening criteria required for the position which must find that you meet the applicable government customer's requirements (e.g., suitable for access to CMS information and information systems), as well as any additional investigation which may be required throughout your employment. If you are found not suitable, your employment may be subject to corrective action, up to and including immediate termination of employment.
Identity Documentation: You must have access to a current and unrestricted REAL ID, U.S. Passport, U.S. Passport Card, Foreign Passport, or U.S. Permanent Residency Documents. Note: Employment Authorization Cards (EAD) are not a substitute for Visas or U.S. Permanent Resident Cards.
"We are an Equal Opportunity/Protected Veteran/Disabled Employer."
This opportunity is open to remote work in the following approved states: AL, FL, GA, ID, IN, IO, KS, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities within these states may require additional approval. In FL and PA in-office and hybrid work may also be available.
