Job Summary

An insurance company is in need of a Remote Medicare Set Aside Allocator.

Core Responsibilities of this position include:

• Reviewing medical claims and completes complex file review for Medicare Set Asides
• Applying clinical knowledge and expertise with established clinical guidelines
• Utilizing claims, legal, and/or nursing knowledge to analyze medical records

Required Skills:

• Active RN license
• Medicare Set-Aside Consultant Certified certification
• Ability to work independently
• Knowledge of basic computer skills including Excel, Word, and Outlook Email
• Proficient grammar, sentence structure, and written communication skills
• Must have reliable internet