Remote Jobs at CGS Administrators, LLC
Find your next remote opportunity · 3 Open Positions

CGS performs all phases of administrative services for healthcare providers and health plan members.
For providers, we handle provider credentialing, re-verification, and maintenance, call center services, and outreach and education.
We also provide Medical Review strategy development, implementation, and data analysis.
For members, we provide call center services.
Additionally, CGS handles all aspects of claims processing from initial receipt, to payment, to overpayment recovery and appeals, all while leveraging the latest technology solutions.
CGS currently provides Medicare Part A claims processing and customer support services in the states of Kentucky and Ohio.
CGS also provides services for Home Health and Hospice in the states of Colorado, Delaware, DC, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, North Dakota, Pennsylvania, South Dakota, Utah, Virginia, West Virginia, and Wyoming.
In addition, we provide services for Medicare Part B in the states of Ohio, Kentucky, and Idaho, and we provide service to Durable Medical Equipment suppliers in the states of Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, U.S.
Virgin Islands, Virginia, and West Virginia.

Customer Service Advocate II
Customer Service Advocate providing prompt responses to customer inquiries with a focus on effective relations. Resolving issues and maintaining departmental standards as part of a remote role.

Appeals Specialist – CGS Admin
Appeals Specialist performing non-medical reviews and processing redetermination letters at BlueCross BlueShield of South Carolina. Ensuring timeliness and accuracy in reviews and documentation.

Medical Reviewer III – Home Health and Hospice
Medical Reviewer III handling complex medical claim reviews and ensuring compliance with clinical guidelines for BlueCross BlueShield of South Carolina. Join a longstanding insurance leader providing quality service in the healthcare sector.
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