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 14 |
Nashville, Tennessee
Summary Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded i...
5h
| Job Type | Full Time |
Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)
Tennessee
Summary Oversees the accurate processing of claims that have been deferred for medical necessity review. Ensures compliance with nationally recognized standards, and local, state, and federal laws and regulations. Identifies and implements ...
5h
| Job Type | Full Time |
Assistant, Qualified Independent Contractor
Nashville, Tennessee
Summary Provides all redetermination case file information within the specified time requirement while maintaining accuracy and departmental standards. Suspends claims in applicable claim system and tracks all data.Description Logistics CGS...
5h
| Job Type | Full Time |
Senior Data Preparation Technician
Nashville, Tennessee
Summary Performs advanced, varied clerical duties in accordance with standard procedures. This includes clerical duties such as photocopying, compiling records, filing, tabulating, posting information, and distributing mail. Applies knowled...
20h
| Job Type | Full Time |
Columbia, South Carolina
Summary Under general supervision, performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, key...
4d
| Job Type | Full Time |
Nashville, Tennessee
Summary Under general supervision, performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing, reconciliations, generating refund request letters, processing disbursements and deposits, key...
4d
| Job Type | Full Time |
RN Appeals Analyst Medicare Part B - CGS
Nashville, 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...
4d
| Job Type | Full Time |
RN Appeals Analyst Medicare Part B - CGS
South Carolina
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...
4d
| Job Type | Full Time |
Chief Medical Officer (Medicare Policy)
Tennessee
Summary As member of the senior management team, provides administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a lead resource to providers and...
6d
| Job Type | Full Time |
Columbia, South Carolina
Summary Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and...
11d
| Job Type | Full Time |