Reconsideration Analyst

Job Summary

A company is looking for a Reconsideration Analyst I.

Key Responsibilities

• Coordinates delivery of appeals case files and reconsideration decisions with external entities
• Builds and analyzes reconsideration case files to ensure compliance with CMS requirements
• Inputs data regarding reconsiderations into required systems and responds to inquiries from appellants/providers

Required Qualifications

• High School Diploma or equivalent
• One year of general office experience, with education in administration or business substitutable for experience
• Preferred experience in Medicare managed care appeals or utilization management activities
• Must have resided in the United States for at least three of the last five years