What are the responsibilities and job description for the Medicare Appeals Specialist position at TMF Health Quality Institute?
A company is looking for a DRR I (Non - Healthcare Professional).Key ResponsibilitiesReviews medical records and writes clear, concise decisions supporting determinationsMakes independent decisions based on medical evidence in accordance with relevant laws and policiesAddresses all issues raised by beneficiaries, representatives, suppliers, and providersRequired QualificationsAssociate's degree or 60 credit hours towards a Bachelor's degree in healthcare or related disciplineOne year of experience in Medicare appeals, medical review, or related healthcare settingsExperience in appeals and billing is preferredCoding certificate is preferred