Medicare Appeals Analyst

Job Summary

A company is looking for an Appeals Analyst - Medicare.

Key Responsibilities

• Analyze and respond to appeals, coding disputes, grievances, and coverage determinations in accordance with regulatory guidelines
• Prepare position statements for external reviews and document findings in applicable systems
• Monitor daily reports to ensure compliance with service timeliness and regulatory standards

Required Qualifications

• Bachelor's degree or advanced degree where required
• 3 years of related experience, or 5 years of related experience in lieu of a degree
• Experience with claims is a plus