Medicare Appeals Coordinator
A company is looking for a Senior Coordinator Complaint Appeals Operations - Fully Remote.
Key Responsibilities
Manage and resolve appeal scenarios for various products, coordinating responses from multiple business units
Research and analyze incoming electronic appeals, identifying trends and rerouting inappropriate work items
Act as a subject matter expert, providing training and support to staff regarding claims and appeals processes
Required Qualifications
1-2 years of Medicare Part C Appeals experience
1 year of experience in reading or researching benefit language in SPDs or COCs
1 year of experience in research and analysis of claim processing
High School Diploma
A company is looking for a Senior Coordinator Complaint Appeals Operations - Fully Remote.
Key Responsibilities
Manage and resolve appeal scenarios for various products, coordinating responses from multiple business units
Research and analyze incoming electronic appeals, identifying trends and rerouting inappropriate work items
Act as a subject matter expert, providing training and support to staff regarding claims and appeals processes
Required Qualifications
1-2 years of Medicare Part C Appeals experience
1 year of experience in reading or researching benefit language in SPDs or COCs
1 year of experience in research and analysis of claim processing
High School Diploma