Reconsideration Analyst

A company is looking for a Reconsideration Analyst I.

Key Responsibilities Coordinates delivery of appeals case files and reconsideration decisions with external entities Builds and analyzes reconsideration case files to ensure compliance with CMS requirements Inputs data regarding reconsiderations into required systems and responds to inquiries from appellants/providers

Required Qualifications High School Diploma or equivalent One year of general office experience, with education in administration or business substitutable for experience Preferred experience in Medicare managed care appeals or utilization management activities Must have resided in the United States for at least three of the last five years