Job: Appeals Clerk - Medicare

Jobing Description

Appeals Clerk - Medicare-674969

Description

The Medicare Durable Medical Equipment (DME) appeal associate will perform routine but moderately complex tasks related to Medicare claim appeals and the review of supporting documentation for compliance with Medicare rules and standards. The associate will apply knowledge of established procedures to reviewing documentation for Medicare compliance and process claims appropriately in a production environment.

Qualifications

Examples of duties may include:

Review of documentation for compliance and completeness.

Processing claims using automated systems, following all established government guidelines and procedures.

When necessary, providing complete documentation of claims payment decisions following established processes and procedures of justification.

Preparing routine correspondence, data entry, compiling data for reports, verifying data, completing forms, and processing various documents.

Maintaining records, account reconciliation, and other established general clerical tasks in a production environment with high focus in quality

Applying a basic knowledge of the administrative methods, and acumen to develop the required administrative skills of the job.

Training of new employees.

Other special projects or duties assigned accordingly.

Qualifications

Prerequisites

High school education or equivalent combination of education and work experience.

Knowledge of Medical Terminology.

Excellent data entry skills.

Basic knowledge of Microsoft Office software and basic PC skills.

Minimum of 6 months to 1 year general administrative experience, or equivalent college level education.

Job
- Administration