Texas Licensed MSA Specialist

Job Summary

A company is looking for a Medicare Set-Aside (MSA) Specialist.

Key Responsibilities

• Review and edit medical abstractions and MSA allocations to ensure compliance with quality standards and client expectations
• Analyze CMS guidelines and state regulations related to Medicare Secondary Payer compliance
• Support CMS Submission Specialists in preparing accurate MSA packages for submission to CMS

Required Qualifications

• 2+ years of experience in workers' compensation, liability claims, medical case management, or Medicare compliance
• Strong knowledge of Medicare Secondary Payer Act and CMS MSA guidelines
• Proficiency in medical terminology and interpreting medical records
• Certified Medicare Set-Aside Consultant (CMSP, MSCC, or equivalent certification) preferred
• Experience with CMS submission processes and conditional payment resolutions is a plus