Appeals Specialist — Non-Medical Redeterminations

CGS Administrators LLC; Nashville (TN); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Subsidized health plans

Dental and vision coverage

401k with company match

Life Insurance

Paid Time Off

On-site cafeterias and fitness centers

Education Assistance

Service Recognition

National discounts

Job summary

CGS Administrators is hiring a Part A/HHH Appeals Specialist in Nashville, TN. This full-time, on-site role performs non-medical reviews and processes redetermination letters, with CMS Security Clearance required. Sponsorship is not available now or in the future.

You will prepare reports, analyze workload, update letters, and gather documentation for inquiries using Microsoft Office in a typical office environment.

Qualifications

• High School Diploma or equivalent required.
• 2 years job related field experience required.
• Demonstrated proficiency in word processing and spreadsheet software; excellent organization and communication skills.

Responsibilities

• Performs non-medical reviews and processes redetermination letters.
• Prepares unit reports, analyzes workload, and uses various software tools.
• Updates letters and documents within the department as needed.
• Gathers and prepares documentation for legal inquiries and administrative requests.

Skills

Word processing

Spreadsheets

Organizational skills

Customer service

Written communication

Verbal communication

Attention to detail

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

CGS Administrators is hiring a Part A/HHH Appeals Specialist in Nashville, TN. This full-time, on-site role performs non-medical reviews and processes redetermination letters, with CMS Security Clearance required. Sponsorship is not available now or in the future.

You will prepare reports, analyze workload, update letters, and gather documentation for inquiries using Microsoft Office in a typical office environment.