Remote Jobs at CGS Administrators, LLC

Find your next remote opportunity Β· 2 Open Positions

CGS Administrators, LLC

Government Administration

CGS Administrators is a premier healthcare administrator with more than 50 years of industry leadership.

Healthcare InsuranceB2BFraud Prevention

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.

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20hr

Appeals Analyst, Medicare Part B

CGS Administrators, LLC

Appeals Analyst for Medicare Part B reviewing complex appeals for CGS. Conducts detailed clinical reviews and documents decisions within regulatory standards.

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15d

RN Appeals Analyst, Medicare Part B

CGS Administrators, LLC

Appeals Analyst for BlueCross BlueShield handling complex appeal requests. Researching clinical documentation and benefit analysis to ensure compliance with regulations.

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