Medicare Set-Aside Clinical Specialist

Job Summary

To support a growing Medicare Secondary Payer service provider, the fully remote Medicare Set-Aside Clinical Specialist will manage the writing of Medicare Set-Aside allocations and ensure compliance with Medicare Secondary Payer regulations while collaborating with clients across the United States.

Key responsibilities

• Writing Medicare Set-Asides for CMS submission and Evidence Based Medicare MSAs for non-submission
• Managing multiple priorities and deadlines independently while ensuring client satisfaction and effective file management
• Staying current with Workers' Compensation Medicare Set-Aside guidelines and resolving issues related to compliance and pricing methodologies

Required qualifications

• Bachelor's degree
• 1-3 years of experience in a professional environment, preferably with Medicare Secondary Payer matters
• Mastery of the Workers' Compensation Medicare Set-Aside Reference Guide
• Proficiency in writing Medicare Set-Asides and understanding state fee schedule pricing methodology
• Competence in Microsoft Office Suite, particularly Word and Excel