Job Summary

• The role focuses on reviewing and processing Medicare appeal requests in strict compliance with CMS regulations.
• Candidates will collaborate with payer nurses and Independent Review Organizations to verify documentation for complex cases.
• The position requires managing multiple concurrent cases while maintaining high quality standards and meeting turnaround times.

Matching Summary

Skills & Requirements

Key Requirements

• Background in Medicare UM or Appeals
• Proficiency in clinical platforms and Microsoft Office
• Ability to meet CMS-mandated turnaround times

Work Rights