**Job Title: Redetermination Examiner**
The Redetermination Examiner is responsible for performing reviews of Medicare redeterminations and managing appeals in compliance with CMS regulations. This role focuses on identifying any deficiencies in claims processing, ensuring precise documentation, and making educational referrals to achieve compliant results. Applicants should have a High School Diploma or GED, along with a minimum of 6 months of relevant experience. Excellent analytical abilities, communication skills, and proficiency in PC operations are essential for effectively overseeing the appeals process.
Broadway Ventures provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
