MSA Solutions Analyst
Core
Prepare future medical cost projections and Medicare Set-Aside Allocation reports for workers' compensation and liability claims.
Role type
MSA Solutions Analyst
Builds
Medicare Set-Aside allocation reports and medical cost projections
Domain
Healthcare compliance / Workers' compensation
Required skills
Medicare guidelines research, medical record analysis, cost projection, regulatory compliance interpretation, data entry, report writing, customer communication
Preferred skills
Juris Doctor degree, paralegal certificate, claims management experience, Registered Nurse license with clinical experience
Technologies
Microsoft Office Suite, MyConnect
Responsibilities
Review and analyze medical records and claim files to prepare allocation reports; Research Medicare coverage requirements and jurisdictional guidelines; Enter accurate information into MyConnect; Develop rationales for allocations and identify mitigation opportunities; Review automated pricing results and proofread calculations; Communicate exposure and mitigation opportunities to customers; Respond to customer inquiries regarding MSA compliance; Collaborate with internal teams including Coding Team and Clinical Director.
Seniority
Mid-level individual contributor