Appeals Specialist

Job Summary

A company is looking for an Appeals Specialist (Part B South).

Key Responsibilities

• Researches and responds to inquiries from providers, suppliers, and beneficiaries regarding the appeals process
• Interprets requests and determines appropriate responses to resolve issues
• Conducts research on federal regulations and Medicare/Medicaid policies to support decision-making

Required Qualifications

• High School Diploma or equivalent
• Three years of general office experience, with education in administration or business potentially substituting for experience
• One year of Medicare Qualified Independent Contractor appeals experience or professional business writing experience in related fields
• Customer service experience is preferred
• Medicare Part B experience is preferred