Oh Snap!
This job is no longer active - but you can still view the details below.

Medicare Billing and Reconciliation Associate

| Waltham
A bit about us:
We’re on a mission to change healthcare — how it’s paid for, delivered, experienced. We want to put people center stage, not process or profit. We are guided by a deep belief that every person on Medicare should be treated like we would treat a member of our own family: with loving care and a profound commitment to their health and well-being.
That’s why we’re gathering a whole bunch of smart, big-hearted people to create a new kind of healthcare company — one that combines compassion, health insurance, clinical care, and technology seamlessly.
We want to throw the long ball with people we love for a cause we believe in. Life is short. Join us.
A bit more about this role:
Want to work with talented people committed to improving Healthcare? You found the right organization.
The Medicare Billing and Reconciliation Associate is responsible for performing reconciliation of Medicare enrollment membership and premium billing. This role reviews Devoted Health enrollment data and reports received from Centers for Medicare and Medicaid Services to identify and resolve data discrepancies and ensure integrity of member records. This role also supports the enrollment team with processing new enrollment applications and maintaining member enrollment records.

Responsibilities will include:

  • Reviews monthly CMS reports: Monthly Membership Report, Transaction Reply Report, Plan Payment Report and Premium withholding reports. Compares reports to internal eligibility reports and resolves any discrepancies
  • Prepare, review and send member invoices
  • Receive, process and reconcile member premium payments
  • Accurate and timely entry of enrollment applications in Devoted Health’s enrollment system for new enrollees
  • Process member updates in Devoted Health’s enrollment to ensure alignment with CMS records
  • Meet accuracy and timeliness requirements for processing enrollment transactions
  • Work with team to ensure Devoted Health’s membership records are reconciled and is in full agreement with CMS’s records
  • Use enrollment system ques and workflows to address enrollment rejections and resolve errors as identified
  • Assist Team Lead in the collection of enrollment data for CMS monthly reporting
  • Use mail and documentation management systems and workflows for scanning and storing enrollment correspondence
  • Makes outbound calls to new enrollees and existing members as needed to support accurate and timely enrollment processing requirements
  • Assist Finance with premium revenue and accruals for month end close

Attributes to success:

  • Flexibility and willingness to change as according to business needs
  • Consistently achieve quality and productivity standards
  • Strong financial acumen
  • Attention to detail
  • Enjoys communicating with members

Desired skills and experience:

  • High School graduate required. Associate or Bachelor’s desirable
  • A minimum of 1 year of related experience preferred
  • Strong computer experience - typing, talking, using our system for information entry and all at the same time
  • Knowledge of Medicare Advantage eligibility requirements desired

If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you!

Read Full Job Description

Technology we use

  • Engineering
    • GolangLanguages
    • PythonLanguages
    • TypeScriptLanguages
    • ReactLibraries
    • recomposeLibraries
    • Apollo GraphQLLibraries
    • AngularJSFrameworks
    • gRPCFrameworks
    • AWSFrameworks
    • PostgreSQLDatabases
    • RedshiftDatabases

Location

Our sunny office is in the beautiful Watch Factory alongside the Charles River in Waltham. It's easily reachable by commuter train, bus, or bike.

What are Devoted Health Perks + Benefits

Devoted Health Benefits Overview

We offer bright, open office space with plenty of flexibility, awesome colleagues and a strong focus on our mission and supporting the work/life balance of all Devotees. We believe that taking care of ourselves will help us deliver the best possible service to our members.

We offer a free(100% employer paid) HMO Plan through Blue Cross Blue shield for our employees and their families. We also offer a PPO plan at a very limited cost.

Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Dental Benefits
Fully company paid through Blue Cross Blue Shield
Vision Benefits
Fully company paid through Blue Cross Blue Shield
Health Insurance Benefits
We offer a free(100% employer paid) HMO Plan through Blue Cross Blue shield for our employees and their families. We also offer a PPO plan at a very limited cost.
Life Insurance
Offered through the Hartford
Wellness Programs
Wellness program where you can earn money back for healthy behavior along with an onsite gym and cross fit classes onsite
Onsite Gym
Yes, in our facility
Retirement & Stock Options Benefits
401(K)
Yes, we offer a 401K
Company Equity
Equity offered to all Devotees
Child Care & Parental Leave Benefits
Generous Parental Leave
We offer 3 months fully paid for maternity leave and 1 month paternity leave
Flexible Work Schedule
Family Medical Leave
Yes
Vacation & Time Off Benefits
Unlimited Vacation Policy
Generous PTO Polity
Generous PTO
Perks & Discounts
Casual Dress
We embrace the "bring your whole self to work" mantra and want folks to feel comfortable doing their best work
Company Outings
Company retreats, happy hours and team events
Stocked Kitchen
We offer healthy snacks including fresh fruit, bagels and cream cheese, popcorn, energy bars and dark chocolate.
Some Meals Provided
Free lunch weekly
Parking
Free parking onsite
Fitness Subsidies
BCBS reimburses up to 3 months of health club fees
Professional Development Benefits
Job Training & Conferences
We encourage and support our employees in continuing their educational endeavors.
Diversity Program
Devoted has a strong focus on building the most diverse and inclusive workforce we can. We won a 2018 NEVY award for diversity

Additional Perks + Benefits

The people at Devoted are drawn together with the common mission of making a material difference in the healthcare system as a whole and specifically in the lives of the members we serve. We are the type of company that supports employees as they move through the stages of their life while providing constant learning and opportunities for growth and change.

More Jobs at Devoted Health25 open jobs
All Jobs
Finance
Data + Analytics
Design + UX
Dev + Engineer
HR
Marketing
Operations
Project Mgmt
Sales
Design + UX
new
Waltham
Data + Analytics
new
Waltham
Finance
new
Waltham
Project Mgmt
new
Waltham
Data + Analytics
new
Waltham
Operations
new
Waltham
Data + Analytics
new
Waltham
Data + Analytics
new
Waltham
Developer
new
Waltham
Operations
new
Waltham
Developer
new
Waltham
HR
new
Waltham
Design + UX
new
Waltham
Developer
new
Waltham
Marketing
new
Waltham
Marketing
new
Waltham
Developer
new
Waltham