Handle end-to-end Medicare Part C & D appeals, AOR validation, provider outreach, denial and clinical document review, Medical Director case preparation, determinations and effectuation while ensuring CMS compliance and turnaround times.
Required Candidate profile
Graduate with 1–6 years of US Healthcare operations experience, preferably in Medicare Appeals & Grievances, Part C/D Appeals, Claims Administration, AOR Validation and CMS guidelines.
📌 Health Admin Services Associate Claims Appeals (Pune)
🏢 Gratitude India
📍 Pune
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