Reconsideration Analyst

Job Summary

Working remotely on a full-time basis, the Reconsideration Analyst will make second-level non-medical appeal decisions, ensuring clarity and compliance in documentation while addressing appeal issues raised by parties involved.

Key responsibilities

• Writes clear non-medical reconsideration decisions that support determinations
• Provides fair and impartial decisions based on current evidence, regulations, and policies
• Organizes relevant documents and ensures accuracy in overpayment calculations

Required qualifications

• High School Diploma or equivalent
• Three years of general office experience, with education in administration or business substitutable on a year-for-year basis
• Two years of experience handling a high volume of customer calls, appeals, or billing
• Experience with Medicare Part C related appeals activities is preferred