Claims Solutions

  • North Reading, MA
  • Permanent
  • Full-time
Company Description

We assist the world see brand-new possibilities and influence modification for much better tomorrows. Our analytic services bridge material, information, and analytics to assist service, individuals, and society end up being more powerful, more durable, and sustainable.

Job Description

About the Role

We are looking for Medical Analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. This consists of evaluating records, preparing the story and a proper allotment for medical treatment and prescription medications. Prospects will show understanding of CMS policies associated to preparing MSAs. Strong writing abilities, analysis abilities and application of standards are needed for this position. Medical Analysts will work carefully with our lawyers and other members of the medical group to prepare Medicare Set-Asides and Medical Cost Projections.

About the Day to Day Responsibilities of the Role

  • Through an evaluation of appropriate medical files and associated paperwork, offers a story and expense forecast for future treatment associated to Workers Compensation and Liability injuries constant with the present standards
  • Collaborates with a group of lawyers and physician in determining negotiating and recording standards and expense decreases on future treatment strategies
  • Uses ISO Claims Partners exclusive infotech tools to determine medical diagnoses, treatment standards, and prescription medication prices, and files the case when appropriate
  • Provides extra analysis and medical suggestions as required
  • Identifies expense motorists and expense savings chances on all files and finishes customer particular -expense mitigation activities on files where appropriate
  • This is a full-time position, however extra hours might be needed throughout peak time
  • Occasional travel (
    https://medicalbillingcertificationprograms.org/medical-analyst-msa-11/
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