CMS Submission Coordinator

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

IMPAXX is looking for a CMS Submission Coordinator to join our growing team.

IMPAXX is a Medicare compliance company supporting the Property/Casualty industry, with a focus on workers’ compensation and liability claim settlements involving bodily injury. We provide nationwide settlement and compliance solutions designed to help clients resolve claims more efficiently, maintain compliance, and manage settlement costs. Core services include Medicare Set-Aside arrangements, MSA administration, lien resolution, structured settlements, and Mandatory Insurer Reporting.

The CMS Submission Coordinator serves as a liaison between insurers, third-party administrators, attorneys, and Medicare throughout the CMS submission process. This role is responsible for managing assigned non-complex submissions, reviewing and interpreting Medicare correspondence and requests, communicating requirements to customers, and helping ensure timely and accurate responses. The position requires strong written and verbal communication, customer service, attention to detail, and an understanding of the Medicare submission process and review thresholds.

Responsibilities include but are not limited to:

• Serve as the primary contact for assigned non-complex CMS submissions, identifying and escalating complex requests as appropriate.
• Review submission files proactively to confirm receipt of required documentation and information.
• Analyze Medicare requests and clearly communicate required information and next steps to customers by email and phone.
• Evaluate development response documentation against Medicare’s requests and communicate anticipated additional requirements to customers.
• Notify customers of incoming Medicare correspondence within established turnaround times.
• Respond promptly and professionally to customer calls and emails, addressing questions and concerns throughout the submission process.
• Communicate CMS submission processes, review thresholds, and relevant product delivery considerations to customers.
• Engage with Medicare and its contractors to obtain answers to case-specific questions when necessary.
• Coordinate additional assessments with other IMPAXX teams and collaborate across teams to meet customer needs and internal service standards.
• Monitor CMS trends and share relevant information with teammates and customers.
• Review assigned exception reports and prepare a daily Work Condition Report.
• Escalate customer concerns to the Team Leader, CMS Submissions for review and resolution.
• Cross-train with teammates in similar roles to provide backup support as needed.
• Maintain customer trust through timely, diplomatic, professional, and effective communication.
• Strictly adhere to company confidentiality policies and procedures, safeguarding sensitive information at all times.
• Perform other duties as assigned.

• High school diploma or equivalent.
• Basic working knowledge of Microsoft Outlook, Word, Excel, and PDF software.
• Exceptional telephone etiquette and strong written and verbal communication skills.
• Ability to perform the essential duties of the position satisfactorily, with reasonable accommodation when applicable.
• Ability to maintain confidentiality and appropriately safeguard sensitive information.

• Bachelor’s degree from an accredited university or college.
• Working knowledge of Medicare guidelines and Medicare Secondary Payer compliance statutes.
• One to three years of experience in workers’ compensation.
• Experience managing a caseload.

20 - 25 Hourly

The pay range provided above is made in good faith and based on our lowest and highest annual…