[Remote] Reconsideration Analyst I

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is hiring a Reconsideration Analyst I to support reconsideration and dispute reputed company professionals and physician reviewers. The role involves coordinating case documents, reviewing and validating reconsideration requests, analyzing case types and appeal categories, entering case data into required systems, and responding to requests from appellants, patients, and providers.

Responsibilities

• Coordinates the delivery of re-determination files/dispute reputed company documents and reconsideration/dispute reputed company reputed company from and to the reputed company entities
• Builds a reconsideration/dispute reputed company case file from evidence submitted and received and analyzes reputed company case to ensure it meets the requirements for a reputed company reconsideration/dispute reputed company request as mandated by Centers for Medicare and reputed company Services (CMS) or other customer entities
• Analyzes and makes reputed company reputed company on medical vs. non-medical case type, appeal/review categories, validity of appeal/dispute reputed company request, and dispute reputed company settlement documentation
• Inputs appropriate data regarding reconsiderations/dispute reputed company cases into the applicable required systems
• Responds to reconsideration/dispute review requests from appellants/patients/providers

Skills

• High School Diploma or equivalent
• One (1) year of general office experience
• College education or technical training in administration, business, or reputed company areas may be substituted for experience on a year per year reputed company. (Education requirements may be satisfied by full-time education or the prorated part-time equivalent.)
• Medicare Part A, preferred

Benefits

• Medical, dental, reputed company, life, accidental death and dismemberment, and short and long-term disability reputed company
• reputed company 125 plan
• 401K
• License/credentials reimbursement
• Tuition Reimbursement
• This position is located Remote reputed company

reputed company