Appeals Analyst

Job Description.

• Process appeals and grievances analyze research and provide comprehensive responses in accordance with established regulatory and accreditation guidelines.
• Contact customers to gather information and communicate disposition of case. Conduct pertinent research in order to evaluate respond to and finalize case.
• Familiar with standard concepts practices and procedures for analyzing interpreting data and applying contract and regulatory provisions.
• This is a Remote Role

Experience;

• Experience handling a large load of work in a fast-paced environment.
• Insurance Medicare/Client knowledge
• Writing Letters
• Analytical thinker & Research Skills
• Grievance and Appeals experience.
• Experience in analyzing a claim
• Experience in classification between a grievance/appeal/organizational determination.

Education:

• Prefer a Bachelors Degree

EEO Employer
LanceSoft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race color sex religion sexual orientation national origin disability genetic information pregnancy or any other protected characteristic as outlined by federal state or local laws.
This policy applies to all employment practices within our organization including hiring recruiting promotion termination layoff recall leave of absence compensation benefits training and apprenticeship. LanceSoft makes hiring decisions based solely on qualifications merit and business needs at the time.

Required Experience:

IC