Description

As the Appeals and Grievances (A&G) Analyst, you will be responsible for assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. You will:

Manage various weekly/monthly deadlines effectively due to the time constraints imposed by CMS on Medicare appeals and grievances. Collaborates closely with beneficiaries, healthcare providers, and insurance companies to ensure that complaints, appeals, and grievances are addressed in a timely manner. Analyze and process appeals and grievances in accordance with CMS/Medicare regulations and guidelines. Investigate complaints and work with all parties involved to find a resolution in accordance with CMS/Medicare regulations and guidelines. Salary: $31.45 – $43.17/hourly