RN Medicare Compliance Sr

Sedgwick • Olympia, WA • 5d ago

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

RN Medicare Compliance Sr

PRIMARY PURPOSE OF THE ROLE: To perform provider outreach, specialized document review, and analysis and interpretation of interventions for the preparation of Medicare Set-Aside allocations.

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

Apply your nursing or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury.

Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment.

Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting.

Enable our Caring counts® mission supporting injured employees from some of the world's best brands and organizations.

Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more.

Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

Contacts providers and attorneys to obtain clarification of documentation needed to support the preparation of Medicare Set-Aside allocations.

Creates customized correspondence for any applicable providers that will provide the clarity needed to proceed with the preparation of the Medicare Set-Aside.

Executes outreach activities with providers for each case via telephone, email, and fax, adhering to best practice guidelines.

Reviews and analyzes completed documentation from providers to ensure accuracy, completeness, adherence to quality assurance standards.

Determine the outcome of involvement to include efficacy of response, financial, and client satisfaction.

Maintains accurate record of management including costs savings.

Articulates and effectively documents clear and concise information.

EDUCATION AND LICENSING

Bachelor's degree from an accredited college or university preferred. Active unrestricted RN license issued in a state or territory of the United States required.

?TAKING CARE OF YOU BY

Thrives when allowed flexibility & autonomy.

Wants dynamic company culture.

Passionate about creativity.

Craves culture of support, both giving and receiving.

Thrives when everyone is working towards same vision/goals.

Strong team and customer service orientation.

Seeks clear role expectations.

Wants to e valued as a collective "we".

?We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.

NEXT STEPS

If your application is selected to advance to the next round, recruiter will be in touch.

nurse #medicare #medicaresetaside

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $$80,000-$86,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Similar Jobs

Regional Sales Manager - New Logo

EBSCO Information Services • Olympia, WA • 12min ago

Management & Administrative

EBSCO Information Services (EBSCO) delivers a fully optimized research experience, seamlessly integrated with a powerful discovery platform to support the information needs and maximize the research experience of our end...

12min ago

Go to Apply

Sr Sales Enablement Program Manager

WM • Olympia, WA • 16min ago

Management & Administrative

Waste Management (WM), a Fortune 250 company, is the leading provider of comprehensive waste and environmental services in North America. We are strongly committed to a foundation of operating excellence, professionalism...

16min ago

Go to Apply

Clinical Sales Manager - Cardiovascular/Perfusion

Nordson Corporation • Tumwater, WA • 21min ago

Hospital & Medical

Nordson Medical, a global leader in Interventional Solutions, Fluid Components, and Surgical Solutions, is seeking an experienced and highly motivated individual to join our team. We are committed to creating a diverse a...

21min ago

Go to Apply

Electrical Engineering Leader

CDM Smith • Olympia, WA • 37min ago

IT & Engineering

42467BR Requisition ID: 42467BR Business Unit: IND Job Description: We are seeking a highly skilled Electrical Engineering Leader to provide expert technical guidance and oversight of the electrical engineering group. Th...

37min ago

Go to Apply

Software Engineer - Backend

Evolent • Olympia, WA • 40min ago

IT & Engineering

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to conn...

40min ago

Go to Apply

Legal Operations Administrative Assistant

NTT America, Inc. • Olympia, WA • 1h ago

Legal & Paralegal

Make an impact with NTT DATA Join a company that is pushing the boundaries of what is possible. We are renowned for our technical excellence and leading innovations, and for making a difference to our clients and society...

1h ago

Go to Apply

Data Scientist

Meta • Olympia, WA • 5h ago

IT & Engineering

Summary: Meta is seeking a highly skilled and motivated Data Scientist to join our Infrastructure Data Centers team. As a lead data scientist, you will partner with stakeholders, program managers, and other data science...

5h ago

Go to Apply

Data Scientist

Meta • Olympia, WA • 5h ago

IT & Engineering

5h ago

Go to Apply

Data Scientist

Ford Motor Company • Olympia, WA • 5h ago

IT & Engineering

We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves and build a better world -- together. At Ford, we're all a part of something bigger than ourselves. Are you ready to c...

5h ago

Go to Apply

Non Bank MLO

U.S. Bank • Olympia, WA • 10h ago

Finance, Accounting & Banking

At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it tak...

10h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.