Work on both MAC and RAC claim denials in the Medicare Process and prepare materials before sending off to the legal team to submit to the Level 3 appeals process. Keep abreast of current industry standards as well as learn of related news events. Attention to detail exhibited on all levels.
From the Resume:
*Contract Paralegal for Regulatory Compliance Support, Government Programs*
Preparing reports and tracking for Medicare Appeals Process (Levels 1-5); prepare filings to Legal Department of Level 2 QIC responses and Level 1 Denials for IRF for the escalation of appeals; ensure HIPAA compliance; ensure appropriate documentation; collaborate with Legal Department on process improvemen...
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