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Appeals and Grievances Analyst

UCLA Health Careers
Los Angeles, CA Full Time
POSTED ON 1/28/2025 CLOSED ON 3/28/2025

What are the responsibilities and job description for the Appeals and Grievances Analyst position at UCLA Health Careers?

Description

As 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

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