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Medicare Set Aside Jobs (NOW HIRING)

Capitol Bridge, LLC.

$70K/yr

Review and evaluate workers' compensation Medicare set-aside (WCMSA) proposals, including medical records, to determine if the proposal meets Medicare threshold requirements and adequately considers ...

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Medicare Set Aside information

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How much do medicare set aside jobs pay per hour?

As of Jun 21, 2026, the average hourly pay for medicare set aside in the United States is $26.77, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $28.85 per hour, depending on experience, location, and employer.

What jobs pay $2000 a day?

High-paying jobs that can earn $2000 or more per day include specialized roles such as surgeons, anesthesiologists, corporate lawyers, and certain executive positions. These roles typically require advanced education, extensive experience, and often involve high levels of responsibility and skill. In some cases, freelance consultants or successful entrepreneurs may also reach this earning level through their work or business ventures.

What jobs pay 10,000 a month without a degree?

High-paying jobs that can reach $10,000 a month without a degree include roles such as real estate brokers, sales managers, commercial pilots, and skilled trades like electricians or plumbers. Success in these fields often depends on experience, certifications, or licensing, rather than formal college education.

How to become a Medicare reviewer?

To become a Medicare reviewer, candidates typically need a background in healthcare, insurance, or claims processing, along with knowledge of Medicare policies and regulations. Relevant experience in medical billing, coding, or case review is often required, and certifications such as Certified Professional Coder (CPC) or Medicare-specific training can be beneficial. Strong analytical skills and attention to detail are essential for evaluating claims and ensuring compliance.

What does a Medicare Set Aside professional do?

A Medicare Set Aside (MSA) professional evaluates and allocates settlement funds for future medical expenses related to a workers' compensation or liability claim. They ensure compliance with Medicare guidelines by estimating the necessary medical costs and submitting the MSA proposal for approval. Their role involves analyzing medical records, projecting treatment costs, and coordinating with attorneys, insurers, and healthcare providers.

What are the key skills and qualifications needed to thrive in the Medicare Set Aside position, and why are they important?

To thrive in a Medicare Set Aside (MSA) role, a deep understanding of Medicare regulations, workers' compensation law, and medical cost projections is essential, often supported by a background in nursing, legal studies, or claims management. Familiarity with industry-standard software for case management, medical record review, and compliance documentation is typically required, along with relevant certifications such as CMS MSA certification or a Registered Nurse (RN) license. Attention to detail, analytical thinking, strong organizational skills, and effective communication are vital soft skills in this field. These skills ensure the accurate allocation of funds, regulatory compliance, and effective collaboration with legal, insurance, and healthcare professionals.

What are the primary responsibilities involved in a Medicare Set Aside role?

Professionals in a Medicare Set Aside role are primarily responsible for evaluating medical records and treatment histories to determine the future medical expenses related to a workers' compensation or liability claim, ensuring compliance with Medicare guidelines. They collaborate closely with attorneys, insurance adjusters, and healthcare providers to gather necessary information and prepare detailed allocation reports. The role also involves submitting proposals to the Centers for Medicare & Medicaid Services (CMS) and following up on approvals, making project management and regulatory expertise essential. This position is ideal for those who enjoy a mix of analytical work, documentation, and cross-functional teamwork.

How does Medicare set aside work?

A Medicare Set Aside (MSA) is an arrangement used in workers' compensation or personal injury cases to allocate a portion of a settlement for future medical expenses related to the injury that would otherwise be covered by Medicare. The MSA is reviewed and approved by Medicare to ensure that Medicare's future interests are protected, and it requires careful calculation and documentation by the involved parties or professionals. Once established, funds are used solely for approved medical costs, and ongoing medical expenses are paid from the set-aside account to prevent Medicare from being billed for those costs.
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Medicare Set Aside jobs near you

WCRC Attorney (58516)

Capitol Bridge, LLC.

$70K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Job description

About Capitol Bridge

Founded in 2012, Capitol Bridge is based in Arlington, Virginia and has proven expertise providing independent medical reviews, records/data management services, medical coding, administrative staffing and eligibility reviews.

Capitol Bridge LLC is seeking an WCRC Attorney to support an important government project. In this role you will, in accordance with CMS guidelines, evaluate Workers’ Compensation Medicare Set-aside Arrangement (WCMSA) proposals and project the future medical costs, including prescription drugs, related to the workers’ compensation (WC) injury, illness, or disease that would be otherwise reimbursable by Medicare.

Job Description:

Review and evaluate workers’ compensation Medicare set-aside (WCMSA) proposals, including medical records, to determine if the proposal meets Medicare threshold requirements and adequately considers Medicare’s interests as pertaining to future medical needs ofbeneficiaries.Ensure all basic documentation requirements are available or requested via development action prior tomaking adetermination.Render determinations based on professional experience.Implement Medicarepolicy.Other duties as assigned bymanagement.

Qualifications:

  • Juris Doctor (JD) from an accredited law school,required.

  • Medicalrecordreview experience,required.

  • Medicare Set-Aside (MSA) or related experience, preferred

  • Possess medical knowledge and experience with medical terminology, ICD-9/10 Codes, Current Procedure Terminology Codes (CPT)codes, Healthcare Common Procedure Coding System (HCPCS) codes, and hospital inpatient and outpatient coding, preferred.

  • Medicare Set-Aside Certified Consultant (MSCC) certification and/or Certified Medicare Secondary Payer (CMSP) certification,preferred.

Pay and Benefits:

  • Base Rate starting at $70,000

  • Medical, Dental, and Vision benefits available

  • 401(k) available with company match

  • Paid holidays

  • Unlimited PTO

Screenings Required:

You will receive requests for background check, fair credit check, and drug screen regarding this employment opportunity. Respond to all requests quickly as we anticipate filling our vacancies quickly and non-responses may result in disqualification for this opportunity.

*Please be aware that our organization and our client adhere to stringent security regulations, necessitating a thorough background screening process for all potential hires. We value transparency and want to inform you that this screening may result in a delay of at least 60 days prior to onboarding. Rest assured, we are committed to maintaining a secure and compliant work environment. We appreciate your understanding and cooperation as we prioritize the safety and confidentiality of our operations.

Reasonable Accommodation:

If you require alternative methods of application or screening, you must approach the employer directly to request this. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.

EEO Statement:

Capitol Bridge is an Equal Opportunity Employer. All employment decisions at CB are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.

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