What are the responsibilities and job description for the Medicare Auditor I-1 position at Horizon Blue Cross Blue Shield of New Jersey?
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware
Job Summary :
Responsible for processing Medicare Demands received from the Medicare Secondary Payer Recovery Contractor or the Department of U.S. Treasury.
Responsibilities :
Review and verify data integrity of Medicare files.
Determine primacy and coordinate system updates as needed.
Process claims to repay Medicare or the Treasury Department following CMS Regulations.
Update tracking system accordingly.
Perform other related tasks as assigned by management.
Disclaimer :
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
Education / Experience :
High School Diploma / GED required.
Minimum of 2 years experience in processing coordination of benefits claims.
Knowledge :
Knowledge of Medicare Secondary Payer regulations
Skills and Abilities :
Strong Computer Skills
Multitasking, strong Interpersonal skills, Organizational Skills and strong Written Communication Skills
Salary Range : 49,400 - $66,045
This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to : education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes :
Comprehensive health benefits (Medical / Dental / Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.
Salary : $49,400 - $66,045
