MSA Solutions Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Examine and evaluate medical records, claim documentation, hearing orders, and depositions to create allocation reports.

• Prepare projections for future medical costs and Medicare Set-Aside Allocation reports.

• Investigate Medicare coverage requirements, Medicare Secondary Payer statutes, jurisdictional specifications, regulatory guidelines, medical treatment protocols, and related costs.

• Accurately input complete information into the medical tab and other relevant sections of MyConnect.

• Formulate clear rationales for allocations and identify potential opportunities for mitigation.

• Review automated pricing results in MyConnect for accuracy and proofread calculations and report summaries.

• Maintain comprehensive and precise file documentation.

• Deliver finalized allocation reports to clients and convey identified exposures and mitigation opportunities.

• Reach out to clients to clarify or gather any outstanding information necessary for report completion.

• Address customer inquiries regarding delivered allocations and Medicare Secondary Payer compliance, or redirect questions internally.

• Review, analyze, and communicate CMS counter opinions as assigned.

• Collaborate with the Team Leader, Coding Team, Clinical Director, Referral Coordinators, and other internal teams.

• Explore resources in the Analyst iPortal and IMPAXX Intranet, including specific handling instructions for customers.

• Offer insights on enhancements to MyConnect workflows and related processes.

• Produce an average of at least 1.2 allocation reports per day.

• Uphold confidentiality and security of medical records and other sensitive information.

• Execute additional duties as assigned.

⛳️ Requirements

• Three to five years of experience in workers’ compensation or liability claims.

• At least one relevant educational or professional qualification: Juris Doctor degree, paralegal certificate, claims management experience, MSA Analyst experience, or a bachelor’s degree in nursing with an active Registered Nurse license and three to five years of clinical nursing experience.

• Strong analytical and critical-thinking abilities.

• Capability to research and interpret Medicare guidelines, Medicare Secondary Payer statutes, jurisdictional requirements, medical terminology, and regulatory communications.

• Proficiency in basic mathematics, including percentages and fractions.

• Exceptional reading comprehension and the ability to process large volumes of detailed information.

• Excellent written communication, proofreading, grammar, and numerical presentation skills.

• Strong attention to detail, sound judgment, and the ability to work independently with minimal supervision.

• Skills in accuracy, organization, time management, adaptability, collaboration, and problem-solving.

• Proficient with Microsoft Office Suite and capable of accurate typing and data entry.

• Professional telephone and customer service skills.

• Ability to maintain confidentiality and safeguard sensitive medical information.

• Willingness to work additional hours or a flexible schedule when business demands arise.

• Ability to perform essential functions with or without reasonable accommodation.

🏝️ Benefits

• Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance.

• Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement.

• Complimentary Mental Health & Enhanced Advocacy Services.

• Paid Time Off.

• Holidays.

• Discounts with Preferred Partners.