What are the responsibilities and job description for the Appeals and Grievances Analyst position at UCLA Health Careers?
DescriptionAs the Appeals and Grievances (A&G) Analyst, you will be responsible for assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. You will:
- Manage various weekly/monthly deadlines effectively due to the time constraints imposed by CMS on Medicare appeals and grievances.
- Collaborates closely with beneficiaries, healthcare providers, and insurance companies to ensure that complaints, appeals, and grievances are addressed in a timely manner.
- Analyze and process appeals and grievances in accordance with CMS/Medicare regulations and guidelines.
- Investigate complaints and work with all parties involved to find a resolution in accordance with CMS/Medicare regulations and guidelines.
Salary: $31.45 - $43.17/hourly
Salary : $1,000 - $1,000,000