Health Insurance Specialist

We are looking for an experienced and highly organized Health Insurance Specialist to join the Centers for Medicare & Medicaid Services (CMS). This is a great opportunity to work at an agency that is at the forefront of healthcare policy in the United States. The ideal candidate should have a strong knowledge of Medicare and Medicaid programs, a commitment to superior customer service, and excellent problem-solving skills. If you're interested in making a real difference in the lives of millions of Americans, this may be the perfect role for you.Required Qualifications:• Bachelor's degree in healthcare administration, public health, business administration, or related field• At least two years of experience working with Medicare and Medicaid programs and eligibility requirements• Knowledge of healthcare policy and regulations• Strong organizational and communication skills• Ability to work independently and manage multiple tasks• Attention to detail and analytical skills• Proficiency in Microsoft Office and other software• Ability to work in a fast-paced environmentIf this sounds like you, then please apply to join the CMS team today!

Responsibilities:

1. Ensure accurate and timely processing of Medicare and Medicaid applications and eligibility requirements.
2. Support the development and implementation of healthcare policies and regulations.
3. Monitor and analyze Medicare and Medicaid data to identify trends and discrepancies.
4. Review and verify accuracy of claims submitted to CMS.
5. Develop and maintain positive relationships with stakeholders, including providers, health plans, and government agencies.
6. Maintain a high level of customer service to ensure the needs of clients are met.
7. Provide assistance and technical guidance to clients on Medicare and Medicaid programs.
8. Conduct research and gather data to inform policy decisions.
9. Prepare reports and presentations regarding CMS initiatives.
10. Utilize Microsoft Office and other software programs to track and analyze data.

According to JobzMall, the average salary range for a Health Insurance Specialist in Woodlawn, MD, USA is between $35,163 and $48,967 per year.

The Centers for Medicare & Medicaid Services (CMS), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities (more commonly referred to as nursing homes) through its survey and certification process, clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments, and oversight of HealthCare.gov. CMS was previously known as the Health Care Financing Administration (HCFA) until 2001.

CMS actively inspects and reports on every nursing home in the United States. This includes maintaining the 5-Star Quality Rating System.