Redetermination Examiner, Medicare Part B – 6 Month Temp

Job not on LinkedIn

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $22 / hour

⏳ Contract/Temporary

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Simsy Ventures

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2022

💼 Consulting

📣 Marketing

🏥 Healthcare

Consulting • Marketing • Healthcare

Simsy Ventures is a venture builder and institutional co-founder that partners with entrepreneurs, investors, and corporations to create sustainable startups. Their mission focuses on enabling startups to achieve true potential while promoting a positive impact on profits, people, and the planet. With a structured approach, they support startups throughout their lifecycle, from ideation to market validation and growth. By leveraging a repeatable venture studio model, Simsy Ventures aims to uplift economies globally through impactful entrepreneurship.

📋 Description

• Conduct redetermination reviews per Medicare rules and regulations • Respond to Medicare appeals professionally, timely, and accurately • Write and proofread letters according to current guidelines • Research claims processing deficiencies and initiate corrective responses • Evaluate documentation and history against policy criteria and CMS guidelines • Submit educational referrals to reduce redeterminations • Assist in writing and updating processing guidelines • Identify education and training needs and assist with training • Communicate information to internal and external parties • Process overpayment appeals as needed • Maintain current knowledge of systems, processing instructions, CMS, and JOA requirements • Research and solve problems effectively

🎯 Requirements

• High School Diploma or GED • 6 months’ work-related experience • General PC knowledge • Strong prioritization, analytical and communication skills • Ability to adapt to changes • Candidates must live in and work from an eligible U.S. state when hired and throughout employment • Must pass background checks and drug testing prior to employment; some positions may require fingerprinting

🏖️ Benefits

• 401(k) and company match • PTO that grows the longer you stay • Health, Vision, Dental • Company provided Life Insurance and Voluntary Life Insurance • Short Term Disability and Long Term Disability

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume