CGS Administrators LLC
Serving Providers and Members Across the U.S.
We are a leading provider of administrative services for healthcare programs and stakeholders, including Medicare beneficiaries, providers, and medical equipment suppliers. We leverage more than 50 years of experience to help you lower operational costs, streamline revenue- and time-consuming processes, and provide world-class customer service.
Search among CGS Administrators LLC jobs
| Jobs: 1 - 10 of 62 |
Job Posting Title RN Appeals Analyst Medicare Part B - CGS
Tennessee
Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including pre-pay and...
3h
| Job Type | Full Time |
IT Process Assurance Auditor- CGS Administrators, LLC (Nashville, TN)
Nashville, Tennessee
Summary CGS culture is steeped in how we impact lives within our community and organization. Our culture is invested in six core values: Integrity; Making a Difference; Passion for Excellence; Always Improving; Customer Focused; and Taking ...
3h
| Job Type | Full Time |
Provider Enrollment Analyst- CGS
Columbia, South Carolina
Summary Responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guideline...
1d
| Job Type | Full Time |
Nashville, Tennessee
Summary Performs non-medical reviews and processes redetermination letters.Description CGS Administrators provides a variety of services, under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, health ca...
2d
| Job Type | Full Time |
Medical Reviewer II (Prior-Auth A/B MAC) - CGS
South Carolina
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Pr...
4d
| Job Type | Full Time |
Medical Reviewer II (Prior-Auth A/B MAC) - CGS
Texas
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Pr...
4d
| Job Type | Full Time |
Medical Reviewer II (Prior-Auth A/B MAC) - CGS
Oklahoma
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Pr...
4d
| Job Type | Full Time |
Medical Reviewer II (Prior-Auth A/B MAC) - CGS
Delaware
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Pr...
4d
| Job Type | Full Time |
Medical Reviewer II (Prior-Auth A/B MAC) - CGS
Kansas
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Pr...
4d
| Job Type | Full Time |
Medical Reviewer II (Prior-Auth A/B MAC) - CGS
North Dakota
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Pr...
4d
| Job Type | Full Time |