The Submissions Specialist manages Medicare Set-aside allocations for submission to CMS while ensuring full compliance with regulatory standards. They also review medical records and legal documents to communicate case status effectively with adjusters and attorneys.
The Medicare File Coordinator performs quality assurance reviews and audits files to ensure compliance with client specifications and regulatory mandates. They also provide support to the customer service department by managing billing data, examination fees, and document scanning.
The MSA Planner analyzes complex medical records to forecast future healthcare needs and creates compliant MSA allocations. They collaborate with legal and internal teams to ensure all reports meet federal CMS requirements and industry standards.
