Facebook · 1 day ago
Part A/HHH Appeals Specialist
Nashville, Tennessee
Full-time
Onsite
Entry Level
2+ years expCGS Administrators, a subsidiary of BlueCross BlueShield, provides services under contracts with the Centers for Medicare and Medicaid Services. The role involves performing non-medical reviews and processing redetermination letters to ensure accuracy and timeliness in support of Medicare beneficiaries.
Computer Software
Responsibilities
Perform non-medical reviews and process redetermination letters ensuring timeliness and accuracy
Prepare unit reports, analyze and interpret workload, and process issues utilizing various software tools
Update letters and documents within the department when necessary
May gather and prepare documentation for legal inquiries and administrative requests
Qualification
Required
High School Diploma or equivalent
Two years job related field (insurance claims, medical office, or similar)
Demonstrated proficiency in word processing and spreadsheet software
Excellent organizational, customer service, and written and verbal communication skills
Good judgment skills
Proficiency in spelling, punctuation, and grammar skills
Microsoft Office
Preferred
Excellent computer skills with the ability to navigate between multiple software platforms and work on multiple computer screens
Intermediate Excel skills
Medical claims processing, appeals, billing, or coding experience
Benefits
401(k) retirement savings plan with company match & annual enhancement
Subsidized health plans and free vision coverage
Life insurance
Paid annual leave — the longer you work here, the more you earn
Nine paid holidays
On-site cafeterias and fitness centers in major locations
Wellness programs and a healthy lifestyle premium discount
Sports membership program
Tuition assistance
Service Recognition
Company
The Facebook company is now Meta. Meta builds technologies that help people connect, find communities, and grow businesses.
10001+ employees
H1B Sponsorship
Facebook has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (942)
2021 (5811)
2020 (4476)
Funding
Current Stage
Late StageLeadership Team
Arunava Chatterjee
Executive Director of Ghost Black Operations & CEO & CTO
Shubhra Gupta
CEO
Recent News
Business Live
2025-11-03
2025-11-01
Company data provided by crunchbase