Job Summary
A company is looking for a Medicare Set-Aside (MSA) Specialist.
Key Responsibilities
- Review and edit medical abstractions and MSA allocations to meet quality standards and client expectations
- Analyze and apply CMS guidelines and state regulations for Medicare Secondary Payer compliance
- Support the preparation of MSA packages for submission to CMS and maintain accurate documentation
Required Qualifications
- 2+ years of experience in workers' compensation, liability claims, 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) is preferred
- Experience with CMS submission processes is a plus
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