Reconsideration Analyst

A company is looking for a Reconsideration Analyst III (Weekend Work). Key Responsibilities Makes second level non-medical appeal decisions, including reviews of appeal cases Writes clear non-medical reconsideration decisions that support determinations Organizes relevant documents and ensures compliance with regulations and privacy standards Required Qualifications High School Diploma or equivalent Three (3) years of general office experience Two (2) years of experience with high volume customer calls, appeals, or billing Experience in Medicare managed care appeals or utilization management is preferred College education or technical training may substitute for experience on a year-for-year basis