Product Manager, Medicare Compliance
CorVel
- Davenport, IA
- $94,745-159,206 per year
- Permanent
- Full-time
- Ensures claims Section 111 / Mandatory Insurer Reporting (MIR) are correctly completed and submitted to CMS within CMS issued guidelines
- Provide ongoing MIR compliance education and training to internal and external customers
- Trouble-shoot reporting errors and questions with internal and external customers
- Facilitate system enhancements to MIR platform
- Chairs Mandatory Insurer Reporting quarterly task force
- Maintain current tracking of MIR customers and profile reports
- Responsible to identify and facilitate timely implementation changes to adhere to current CMS regulations related to MIR
- Assure current MIR knowledge compliance via regular review of CMS websites and attend CMS/ industry hosted webinars and meetings to
- Requires punctual and consistent attendance
- Maintain HIPAA compliance in all aspects of communications
- Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
- Additional duties as assigned
- Proficient in Microsoft applications especially Excel and SharePoint
- Detail oriented
- Exceptional organizational skills
- Excellent written skills
- Excellent communication and presentation skills
- The ability to work independently and collaboratively with multiple departments
- The ability to work in a fast paced/production environment
- Bachelor’s degree
- Experience in Medicare Secondary Payer Compliance
- Experience within the insurance industry, managed care or related field preferred