Medicare Appeals Analyst

Job Summary

Conducting second-level non-medical Medicare appeals decisions, the full-time Reconsideration Analyst II will work remotely to write clear decisions, address appeal issues, and ensure compliance with regulations while managing rotating weekends and holidays.

Key responsibilities

• Write non-medical reconsideration decisions that clearly support the determinations made
• Address all appeal issues raised by parties involved, ensuring fairness and impartiality
• Conduct research using federal regulations and Medicare policies to support accurate decision-making

Required qualifications

• High School Diploma or equivalent
• Two years of general office experience, with education in administration or business substitutable for experience
• One year of experience in Medicare appeals or Managed Care appeals
• Preferred experience in Medicare Part C related appeals activities