Note: The job is a remote job and is open to candidates in USA. Allan Koba Compliance Solutions is a Medicare Secondary Payer service provider serving a national client base. The Compliance Manager, Operations independently manages assigned files from intake through resolution and government submission, conducting medical and claim reviews, communicating with clients and government entities, and preparing CMS filings.

Responsibilities

Each Compliance Manager independently manages the complete end-to-end process for their assigned files, including:File intake — receiving and organizing medical records and file materials for a prestigious clientele base, and converting materials into DMSFile assignment — assigning, prioritizing, and managing the flow of files to ensure timely progression toward resolutionHigh-level file review — conducting in-depth medical record review, claim review, and advanced analysis, and preparing findings and recommendations for the attorney teamClient communication — serving as the primary point of contact, providing clear, case-specific updates to internal and external stakeholdersClient oversight — monitoring case status, docketing, and following up to drive matters toward successful resolution and client satisfactionMetric tracking — capturing, monitoring, and reporting on performance metrics across the assigned caseloadCMS submissions — preparing and submitting accurate, timely filings to the Centers for Medicare & Medicaid Services (CMS)Government communication — corresponding directly with CMS and other government entities to advance and resolve mattersCorrespondence — preparing and reviewing correspondence, and resolving and troubleshooting issues requiring subject matter knowledge and understanding of company policies and proceduresThe employee’s primary duty must be the performance of work requiring advanced knowledge, defined as work which is predominately intellectual in character and which includes work requiring consistent exercise of discretion and judgement
Skills

• 3–5+ years of experience in a professional environment, ideally within medical, legal, claims, insurance, or compliance settings• Demonstrated ability to work autonomously and own complex processes end-to-end with minimal oversight• Strong analytical judgment and the ability to review medical records and claims and distill high-level findings for an attorney team• Exceptional professional face-to-face and telephone demeanor when interfacing directly with clients and government representatives• Excellent writing, organizational, and communication skills• Ability to independently handle multiple priorities and deadlines while functioning smoothly in a fast-paced, close-knit environment• Proven ability to track, interpret, and report performance metrics• Proficient in Microsoft Office Suite• Proficient in Adobe
Benefits

Medical insuranceDental insuranceVision insuranceLife insuranceRemote work arrangement
Company Overview

Allan Koba Compliance Solutions offers MSP compliance services, including MSA, Section 111 reporting, and Conditional Payment Resolution. It was founded in undefined, and is headquartered in Wilton, Connecticut, USA, with a workforce of 11-50 employees. Its website is https://allankoba.com.