3+ YOEHigh school diploma, 3+ years general office experience, 2 years high-volume calls/appeals/billing, experience with Medicare Part C appeals preferred; must be able to write clear non-medical reconsideration decisions and follow privacy and regulatory policies.
TMF Health Quality Institute: Provides healthcare quality improvement services to government and providers.
2+ YOEHigh school diploma, 2 years general office experience, 1 year Medicare or managed care appeals, ability to research regulations, write reconsideration decisions, and ensure privacy compliance.
2+ YOEHigh school diploma, 2 years general office experience, 1 year Medicare/managed care appeals, ability to write impartial reconsideration decisions and research federal regulations and Medicare policy.
2+ YOEHigh school diploma or equivalent; 2 years general office experience; 1 year Medicare or managed care appeals experience; ability to research federal regulations and write clear non-medical reconsideration decisions.