Reconsideration Analyst
virtual vocationsNew York, NY
Reconsideration Analyst
virtual vocationsNew York, NYJunior L3
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsAll Other Miscellaneous Ambulatory Health Care ServicesReconstituted Wood Product Manufacturing
APPLY NOWWorking 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 responsibilitiesWrites 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 provisionsRequired qualificationsHigh 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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Level
Junior L3
Location
New York, NY
Occupation
Regulatory Affairs Specialists
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
2 days ago