Legal Staff Other in Palmetto, FL

Law Firm

Palmetto, FL

Legal Staff Other in Palmetto, FL

Legal Staff

3-5 yrs required

No

Job Title: Medicare Set-Aside Specialist Trainee

Job Responsibilities:
- Review and analyze medical records, billing/payment records, and pharmacy payment histories to identify an injured person’s past, current, and future treatment needs related to the accident.
- Prepare a clear and concise medical record summary narrative.
- Understand and apply evidence-based medical treatment guidelines and/or CMS guidelines to future care recommendations.
- Document rationale for findings and analysis of the case.
- Identify and outline Medicare and Non-Medicare covered treatment.
- Identify and insert appropriate CPT, HCPCS, and ICD codes based on case specifics.
- Interface with claims staff, attorneys, physicians and their representatives, advisors/clients, and coworkers.
- Maintain established company quality standards.
- Meet weekly production goals.
- Attain Medicare Set-Aside Certified Planner (MSACP) certification within 3 months of hire.

Education and Experience:
- Graduate of an accredited school of nursing (BSN/LPN) or Registered Nurse (RN) license.
- 3-5 years of case management, utilization review, or claims management experience.

Job Skills:
- Proficient in Microsoft Office Suite, including Word and Excel document preparation.
- Effective multi-tasking skills in a high-volume environment.
- Excellent written and verbal communication skills.
- Ability to meet designated deadlines in a fast-paced production environment.
- Strong interpersonal, time management, and organizational skills.
- Ability to work both independently and within a team environment.
- Strong attention to detail.

Salary Information:
- Not specified in the text.