Job Summary
A healthcare company needs applicants for an opening for a Remote Part C Appeals Quality Review and Audit Senior Associate.
Must be able to:
- Meet production demands and maintain a high level of quality
- Perform timely and accurately reviews as assigned
- Review of resolved appeals to ensure compliance
Skills and Requirements Include:
- Health insurance/Medicare experience required
- Proficient in Microsoft Office
- High School Diploma or equivalent required
- Ability to identify and interpret Part C Appeals CMS guidelines/regulations non-compliance
- Ability to write routine reports and correspondence and calculate figures and amounts