Member Account Specialist
Core
Administer Medicare Set-Aside (MSA) and Medical Custodial Account (MCA) funds for injured individuals, ensuring regulatory compliance and accurate fund management.
Role type
Account administration specialist (healthcare/insurance)
Builds
Managed custodial accounts for workers' compensation and liability settlement beneficiaries
Domain
Healthcare, Workers' Compensation, Insurance Compliance
Required skills
Medical billing, Claims administration, Regulatory compliance, Customer service, Medical terminology, Microsoft Office
Preferred skills
Workers' compensation adjuster license, Bachelor's degree
Technologies
Microsoft Office Suite
Responsibilities
Process medical bills and eligible expenses from custodial accounts, Review and authorize pharmacy requests, Monitor account balances and funding needs, Prepare correspondence with members and governmental agencies, Ensure compliance with governmental regulations and reporting requirements, Provide customer service via phone and email
Seniority
Mid-level, hands-on IC