Jobs at CGS Administrators, LLC (Now Hiring) — 8 open

Developer IV - CGS Administrators, LLC (Nashville, TN)

Nashville, Tennessee, United States · Hybrid

Senior

Summary CGS Administrators, LLC (CGS) is part of BCBSSC™'s Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, su…

Skills: C#, MS SQL, OnBase, System development lifecycle, Application development

Claims Customer Service Advocate II

Davidson County, Tennessee, United States · Hybrid

Mid level

Summary We are currently hiring for a Claims Customer Service Advocate II to join CGS/BlueCross BlueShield of South Carolina. You will be responsible for responding to customer inquiries. Inquiries may be non-routine and…

Skills: Customer service, Claims processing, Appeals processing, Verbal communication, Written communication

Technician, Accounting II-CGS

Nashville, Tennessee, United States · On-site

Entry level

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly em…

Skills: Accounting, Clerical functions, Inventory balancing, Reconciliations, Disbursements

Manager, Medical Review (Medicare - Appeals; Utilization Review; Part A; HHH)

Nashville, Tennessee, United States · Hybrid

Senior

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. Identi…

Skills: Medical review, Utilization review, Medicare regulations, Team leadership, Process improvement

Assistant, Qualified Independent Contractor

Nashville, Tennessee, United States · Hybrid

Entry level

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. Desc…

Skills: Administrative support, Clerical, Claims processing, Organizational skills, Decision making

Developer- CGS Administrators, LLC

Nashville, Tennessee, United States · On-site

Entry level

Summary CGS Administrators, LLC (CGS) is part of BCBSSC™'s Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, su…

Skills: C#, MS SQL, OnBase, System development lifecycle, Systems analysis

IT Business Systems Analyst II (Medicare/Medicaid) - CGS Administrators, LLC

Nashville, Tennessee, United States · On-site

Mid level

Summary Working at CGS Administrators CGS Administrators, LLC (CGS) is part of BCBSSC™'s Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipm…

Skills: IT Business Analysis, Requirement Elicitation, Healthcare Domain Knowledge, Medicare/Medicaid Systems, Agile Methodology

Customer Service Advocate II

Faulkner County, Arkansas, United States · Remote Solely

Mid level

Summary Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as neede…

Skills: Verbal Communication, Written Communication, Human Relations, Organizational Skills, Stress Management

About CGS Administrators, LLC

CGS Administrators is a premier healthcare administrator with more than 50 years of industry leadership.

Industry
Government Administration
Company size
501-1,000 employees
Headquarters
Nashville, TN
LinkedIn followers
5,334

Headquartered in Nashville, Tennessee, CGS Administrators, LLC (CGS) is a premier healthcare administrator with over 55 years of industry leadership. We are a proud part of the Celerian Group, a BlueCross BlueShield of South Carolina consortium of companies that help government and private healthcare plans navigate the complexities of a changing marketplace. Our dynamic staff performs all phases of healthcare administration, from claims processing and appeals management to call centers and fraud prevention. We prioritize customer satisfaction through a culture of continuous improvement, consistent performance, and excellent innovation. We also believe in giving back to the community by supporting nonprofits like Second Harvest, United Way, March of Dimes, and FiftyForward. Current CGS contracts for the Centers for Medicaid & Medicare Services (CMS) include Jurisdiction 15 A/B/HHH Medicare Administrative Contractor (MAC) and Jurisdictions B and C Durable Medical Equipment (DME) MACs. Our core experience as a MAC for multiple jurisdictions brings added value to these programs. Interested? Join our team! Click the “Jobs” tab to view current openings.

Offices: 26 Century Blvd, Ste ST610, Nashville, TN 37214-3685, US · 3021 Montvale Drive, Suite C, Springfield, IL 62704, US

Healthcare Administrative ServicesClaims ProcessingHealthcare Fraud and Abuse Preventionand Business Process OutsourcingHealth CareGovernment
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