** REMOTE ** Determinations Specialist (32573)

Are you a Medicare Set-Aside expert who enjoys analyzing complex cases, solving problems, and making a meaningful impact? ExamWorks is seeking a highly skilled Determinations Specialist to join our team and play a critical role in advocating for accurate Medicare Set-Aside (MSA) recommendations and ensuring compliance with CMS guidelines. In this position, you'll leverage your clinical knowledge, analytical expertise, and critical thinking skills to evaluate CMS determination letters, identify discrepancies, conduct research, and support successful MSA outcomes for our clients. If you're passionate about navigating complex regulatory requirements and collaborating with clients to achieve the best possible results, we'd love to hear from you. Schedule: Monday-Friday, 8:00 AM-5:00 PM Required Qualifications Current MSCC (Medicare Set-Aside Certified Consultant) certification Strong knowledge of the WCMSA Reference Guide and CMS Medicare coverage guidelines Exceptional analytical, research, and problem-solving skills Strong written and verbal communication abilities Medicare Set-aside Certified Consultant (MSCC) Medicare Set-aside ( MSA) Centers for Medicare & Medicaid Services (CMS) Workers' Compensation Review Contractor (WCRC) MSP Compliance Medicare Secondary Payer (MSP)