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Senior Coordinator Appeals Operations
A company is looking for a Senior Coordinator Complaint Appeals Operations, fully remote. Key Responsibilities Manage resolution of complex appeal scenarios, coordinating responses from multiple business units Research and resolve incoming electronic appeals, acting as a subject matter expert on workflows and appeals processes Identify trends in misrouted work and deliver internal quality reviews while supporting audits and regulatory meetings 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 Experience documenting workflows and reengineering efforts
A company is looking for a Senior Coordinator Complaint Appeals Operations, fully remote.
Key Responsibilities
Manage resolution of complex appeal scenarios, coordinating responses from multiple business units
Research and resolve incoming electronic appeals, acting as a subject matter expert on workflows and appeals processes
Identify trends in misrouted work and deliver internal quality reviews while supporting audits and regulatory meetings
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
Experience documenting workflows and reengineering efforts
