Reconsideration Analyst

Job Summary

Supporting reconsideration professionals, the full-time Reconsideration Analyst will coordinate case files, analyze appeals, and input data while working remotely and requiring weekend and holiday shifts as needed.

Key responsibilities

• Coordinates delivery of appeals case files and reconsideration decisions to 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 potential substitution for relevant education
• Preferred experience in Medicare Part C related appeals activities
• Residency in the United States for at least three of the last five years