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Medicare Set Jobs (NOW HIRING)

PharMerica

Medicare B Specialist

Louisville, KY · On-site +1

$19.58 - $25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution ... Conducts job responsibilities in accordance with the standards set out in the Company's Code of ...

BrightSpring Health Services

Medicare B Specialist

Louisville, KY · Remote

$19.58 - $25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution ... Conducts job responsibilities in accordance with the standards set out in the Company's Code of ...

Parallon MSC

Medicare Specialist

Hendersonville, TN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Maintains department daily productivity goals in completing a set number of accounts while also ... Promotes the Medicare Service Center and helps to identify necessary resources to meet customer ...

New

Network Temp Inc

Medicare Sales Representative

New York, NY · On-site

$35 - $45/hr

  • Medical

  • Life

Keep informed and adhere to current information pertaining to marketing activity guidelines set ... Required to complete Annual Medicare Training. Requirements: Qualifications * Must have a High ...

MetroPlusHealth

Medicare Sales Rep I

Manhattan, NY · Hybrid

$65K/yr

  • Medical

  • Retirement

  • PTO

Keep informed and adhere to current information pertaining to marketing activity guidelines set ... Medicare Sales experience preferred * Public speaking experience * Excellent organizational ...

MetroPlusHealth

Medicare Sales Rep I

Manhattan, NY · On-site

$65K/yr

  • Medical

  • Retirement

  • PTO

Keep informed and adhere to current information pertaining to marketing activity guidelines set ... Medicare Sales experience preferred * Public speaking experience * Excellent organizational ...

Centene

Sales Representative (Medicare)

Bronx, NY · On-site +1

$48K - $82K/yr

  • Medical

  • Retirement

  • PTO

Keep informed and adhere to current information pertaining to marketing activity guidelines set ... Medicare required Bilingual in Spanish preferred: Specific language skills by some plans may be ...

New

Centene

Sales Representative (Medicare)

Manhattan, NY · On-site +1

$48K - $82K/yr

  • Medical

  • Retirement

  • PTO

Keep informed and adhere to current information pertaining to marketing activity guidelines set ... Medicare required Bilingual in Spanish preferred: Specific language skills by some plans may be ...

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Showing results 21-40

All JobsMedicare Set Jobs

Medicare Set information

See salary details

$14

$26

$47

How much do medicare set jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for medicare set 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 is the difference between Medicare Set vs Medicare Claims Processor?

AspectMedicare SetMedicare Claims Processor
Required CredentialsCertification in Medicare policies, often a healthcare or insurance backgroundSimilar certifications, with focus on claims processing and insurance regulations
Work EnvironmentHealthcare facilities, insurance companies, or government agenciesInsurance companies, healthcare providers, or government offices
Employer & Industry UsageUsed in healthcare administration, insurance, and government programsPrimarily in insurance companies and healthcare organizations handling claims

Medicare Set roles focus on managing Medicare enrollment and eligibility, while Medicare Claims Processors handle the submission and processing of claims. Both roles require similar certifications and work within healthcare and insurance environments, but they serve different functions within the Medicare system.

What skills and qualifications are needed to thrive as a Medicare Set-Aside specialist?

To thrive as a Medicare Set-Aside (MSA) Specialist, you need a thorough understanding of Medicare regulations, workers’ compensation, and medical cost projection, often supported by a background in healthcare, case management, or legal fields. Familiarity with MSA software platforms, legal documentation systems, and certification such as Certified Medicare Set-Aside Consultant (MSCC) is highly beneficial. Strong analytical thinking, attention to detail, and effective communication are critical soft skills for coordinating with clients, attorneys, and medical providers. These skills and qualifications ensure compliance, accurate MSA allocations, and protection of Medicare’s interests in settlement cases.

What are common challenges faced by professionals working in Medicare Set-Aside roles?

Professionals in Medicare Set-Aside roles often encounter the challenge of staying current with frequently changing CMS guidelines and regulations. Accurately assessing future medical costs for injured individuals and ensuring compliance with federal requirements demands strong attention to detail and analytical skills. Additionally, collaborating with attorneys, claims adjusters, and medical providers can be complex, as it requires clear communication and negotiation to balance the interests of all parties while protecting Medicare's interests. Navigating these challenges successfully is essential to providing effective and compliant MSA services.

What is a Medicare Set-Aside?

Medicare Set-Asides (MSAs) are financial arrangements used to allocate a portion of a settlement from a workers’ compensation or personal injury claim to cover future medical expenses that would otherwise be paid by Medicare. The purpose of an MSA is to ensure that Medicare does not pay for medical costs that should be covered by the settlement. MSAs are reviewed and approved by the Centers for Medicare & Medicaid Services (CMS) to ensure compliance with federal law. Properly establishing an MSA helps protect the beneficiary’s eligibility for Medicare and prevents legal complications.
More about Medicare Set jobs

What job categories do people searching Medicare Set jobs look for?

The top searched job categories for Medicare Set jobs are:

Medicare Set jobs near you
Infographic showing various Medicare Set job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, 4% Contract, and 1% Nights. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $55,676 per year, or $26.8 per hour.

Medicare B Specialist

PharMerica

Louisville, KY • On-site, Remote

$19.58 - $25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago

PharMerica rating

6.6

Company rating: 6.6 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

66th of 112 rated pharmacies

Job description

Our Company

PharMerica

Overview

PharMerica, a part of Brightspring Health Services, is a longterm care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States.

The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution of an assigned account portfolio in accordance with PharMerica's policies.

The position requires a high level of attention to detail when initiating, processing, and tracking prior authorizations on behalf of customers. Working closely with EMAR systems, healthcare facilities, and clinical teams, the Medicare D Biller serves as a key point of contact throughout the prior authorization process, ensuring efficient coordination, thorough documentation, and successful resolution of authorization requests.

The ideal candiate will be a Certified Pharmacy Technician (desired) and have two years billing and/or collections experience; Medicare B preferred

Remote: May reside anywhere with the Continental USA.

Schedule: Monday - Friday, 8:00am - 4:30pm eastern time zone

Benefits and perks for You! 

  • Medical, Dental, Vision insurance
  • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
  • Tuition discounts & reimbursement
  • 401(k) 
  • Company Paid Time Off*
  • Shift Differential 
  • DailyPay
  • Pet Insurance
  • Employee wellness and discount programs 
Responsibilities
  • Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, policies and procedures, Corporate Compliance Agreement, applicable federal and state laws, and professional standards
  • Investigates Medicare B eligibility such as diagnosis, place of service, and medication for payment
  • Prepares assignment of benefits, written orders, and obtains signatures from responsible parties
  • Collects refill requests and dated manifest for each dispense
  • Transmits electronic claim to Medicare B and after primary payment is received, prepares claim for secondary payer when applicable
  • Responds to Medicare payer audits
  • Maintains a thorough knowledge of Medicare coverage criteria, billing, coding, and documentation requirements
Qualifications
  • High School Diploma or GED; Associate degree desired
  • Two years billing and/or collections experience; Medicare B preferred
  • Familiarity with standard concepts, practices, and procedures with discipline
  • Certified Pharmacy Technician
  • Strong analytical, communication, and interpersonal skills
About our Line of BusinessPharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.Salary RangeUSD $19.58 - $25.00 / HourEmployment Type: FULL_TIME

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