Reconsideration Analyst
virtual vocationsNew York, NY
Reconsideration Analyst
virtual vocationsNew York, NY
5 days ago
Industries
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsAll Other Miscellaneous Ambulatory Health Care ServicesReconstituted Wood Product ManufacturingAbout the role
Working remotely in a full-time capacity, the Reconsideration Analyst III will make second-level non-medical appeal decisions for beneficiaries, supplies, or providers while ensuring compliance with regulations and addressing all appeal issues raised.
Key responsibilities:
Writes clear reconsideration decisions that support determinations made
Conducts research using federal regulations and related resources to ensure accurate and well-supported decisions
Organizes documents and ensures compliance with Privacy Act provisions
Required qualifications:
High School Diploma or equivalent
Three (3) years of general office experience
Two (2) years of experience in high volume customer calls, appeals, or billing
Medicare Part A knowledge preferred
Resided in the United States for a minimum of three (3) years out of the last five (5) years
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JOB OVERVIEW
Experience level
Junior
Location
New York, NY
Occupation
Regulatory Affairs Specialists
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
5 days ago
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