Job Details

A company is looking for a Case Clerk to support appeals and dispute resolution processes.Key ResponsibilitiesManage and review reconsideration/dispute case filesEnsure cases meet CMS and regulatory requirementsAnalyze case types and validity, and respond to inquiries from patients/providersRequired QualificationsHigh School Diploma or equivalent1+ year of administrative/office experienceHealthcare or Medicare appeals experience preferredKnowledge of CMS regulations preferred