Nurse Allocator-Compliance Specialist REMOTE

Mastery of the Workers’ Compensation Medicare Set-Aside Reference Guide Current understanding of trending with the Workers’ Compensation Review Contractor Competence in writing Medicare Set-Asides for the purpose of CMS submission Experience in writing Evidence Based Medicare MSAs for non-submission Excellent writing, organizational and communication skills Knowledge of state fee schedule pricing methodology Familiarity with usual and customary pricing methodology Knowledge of Redbook and alternative pharmacy pricing methodology Ability to independently handle multiple priorities and deadlines with minimal supervision while simultaneously functioning smoothly in a fast-paced, close-knit environment Ability to manage multiple tasks Proficient in Microsoft Office Suite, Word and Excel. Ability to allocate pursuant to client-specific protocols and methodologies Responsible for successful file management, problem solving and client satisfaction Resolve and troubleshoot issues, requiring subject matter knowledge and understanding of company policies and procedures Bachelor’s degree Active nursing license

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