Medicare Appeals Reconsideration Analyst

Job Summary

A company is looking for a Reconsideration Analyst to conduct second level non-medical Medicare appeals decisions.

Key Responsibilities

• Write clear non-medical reconsideration decisions supporting the determination made
• Address all appeal issues raised by the party involved in the appeal
• Conduct research using federal regulations and Medicare policy to ensure accurate decisions

Required Qualifications

• High School Diploma or equivalent
• Two years of general office experience, with education in administration or related fields as a substitute
• One year of experience in Medicare appeals or Managed Care appeals
• Experience relevant to Medicare managed care appeals or utilization management is preferred