Managing complex appeal scenarios remotely, the full-time Senior Appeals Coordinator will resolve incoming electronic appeals, coordinate responses from various business units, and develop into a subject matter expert by providing training and support. Key responsibilities Research and resolve incoming electronic appeals as a single point of contact Assemble data for denial determinations and act as a subject matter expert on workflows and appeals processes Coordinate efforts across departments to resolve claims research and triage complaint/appeal issues Required qualifications 1-2 years of Medicare Part C Appeals experience Experience in reading or researching benefit language in SPDs or COCs Demonstrated ability to handle multiple assignments competently and efficiently Experience documenting workflows and reengineering efforts High School Diploma
Senior Appeals Coordinator in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.