Medicare Set Aside Specialist Jobs

Thorough knowledge of claims management

Compiles, reviews and analyzes claim files and/or management reports.

Maintains thorough understanding of service and products offered by Medicare Compliance department.

Excellent oral and written communication, including persuasive writing skills

Strong analytical and interpretive skills

Requests rated-ages; tracks files/requests/submissions through Centers for Medicare and Medicaid Services (CMS) processes; and creates documentation as required.

·Strong interpersonal, time management and organizational skills.

·Effective multi-tasking skills in a high-volume environment.

·Excellent written and verbal communication skills.

·Certification as a MSCC, CMSP, CLCP or CNLCP, preferred.

·Understand and apply evidence based medical treatment guidelines, and/or CMS guidelines to future care recommendations.

·Identify and outline Medicare and Non-Medicare covered treatment.