Appeals and Grievances Analyst ensures cases are handled accurately and in compliance with CMS regulations. Key duties include... Responsibilities: Process and document appeals and grievances following company and CMS guidelines Investigate cases, prepare...
all, equitably and effectively. Acting in a quality assurance capacity, Appeals and Grievances Analysts are responsible... for processing appeals and grievances by evaluating the organization's initial decisions against CMS guidelines and enrollee benefits...
and ensure it reaches all, equitably and effectively. We are searching for an Appeals and Grievances Intake Analyst who... will support coordination of appeals and grievances intake, request medical records, and process member/provider requests as well...