Case Clerk

Job Summary

A company is looking for a Case Clerk to support appeals and dispute resolution processes.

Key Responsibilities

• Manage and review reconsideration/dispute case files
• Ensure cases meet CMS and regulatory requirements
• Analyze case types and validity, and respond to inquiries from patients/providers

Required Qualifications

• High School Diploma or equivalent
• 1+ year of administrative/office experience
• Healthcare or Medicare appeals experience preferred
• Knowledge of CMS regulations preferred