Novitas Solutions

About Us

Welcome to Novitas Solutions

At Novitas Solutions, we are dedicated to ensuring that Medicare beneficiaries receive timely and accurate healthcare services. As a leading Medicare Administrative Contractor (MAC), we administer Medicare health benefits for millions of beneficiaries across multiple states. Our mission is to deliver exceptional service and support to our providers, beneficiaries, and other stakeholders through innovative solutions, efficient processes, and a commitment to excellence.

Our Mission

Our mission is to administer the Medicare program with integrity, efficiency, and dedication, ensuring that beneficiaries receive the healthcare services they need while supporting providers with accurate and timely reimbursements.

What We Do

Novitas Solutions provides a comprehensive range of services to ensure the smooth operation of the Medicare program:

• Claims Processing: We manage the accurate and timely processing of Medicare claims, ensuring providers receive fair and prompt reimbursements.
• Provider Enrollment: We handle the enrollment and revalidation of Medicare providers, ensuring they meet all regulatory requirements.
• Customer Service: Our customer service team assists beneficiaries and providers with inquiries, resolving issues promptly and efficiently.
• Education and Outreach: We provide education and outreach programs to help providers and beneficiaries understand Medicare policies and procedures.
• Medical Review: Our team conducts medical reviews to ensure that Medicare claims comply with federal regulations and medical necessity guidelines.
• Program Integrity: We work diligently to detect and prevent fraud, waste, and abuse in the Medicare program, safeguarding taxpayer dollars.

Why Choose Novitas Solutions?

• Expertise: With extensive experience in Medicare administration, we bring a deep understanding of the complexities of the program.
• Innovation: We leverage advanced technologies and innovative solutions to enhance efficiency and improve service delivery.
• Customer Focus: Our commitment to exceptional customer service ensures that beneficiaries and providers receive the support they need.
• Compliance: We maintain strict adherence to federal regulations and guidelines, ensuring the integrity of the Medicare program.
• Collaboration: We work closely with the Centers for Medicare & Medicaid Services (CMS), providers, and other stakeholders to achieve our mission.

Our Culture

At Novitas Solutions, we foster a culture of integrity, collaboration, and continuous improvement. Our core values guide us in delivering outstanding service and creating a positive work environment:

• Integrity: We conduct our business with honesty, transparency, and accountability.
• Excellence: We strive for excellence in all aspects of our work, from service delivery to internal operations.
• Innovation: We embrace new technologies and innovative approaches to enhance our services and processes.
• Customer Focus: We prioritize the needs of our beneficiaries and providers, delivering responsive and compassionate service.
• Teamwork: We believe in the power of collaboration, working together to achieve common goals and drive success.

Our Commitment to Employees

• Career Development: We offer opportunities for professional growth and advancement within the organization.
• Training and Education: Our comprehensive training programs ensure employees have the skills and knowledge needed to excel in their roles.
• Supportive Environment: We provide a positive and inclusive work environment, fostering teamwork and collaboration.
• Work-Life Balance: We promote a healthy work-life balance with flexible schedules and employee wellness programs.
• Recognition and Rewards: We celebrate the achievements and contributions of our team members through various recognition and reward programs.

Join the Novitas Solutions team and be part of a company that values integrity, excellence, and innovation. Explore our career opportunities and discover how you can contribute to our mission of supporting the Medicare program and improving healthcare delivery for millions of beneficiaries.