Senior Appeals Coordinator

Job Summary

A company is looking for a Senior Coordinator Complaint Appeals Operations - Fully Remote.

Key Responsibilities

• Manage and resolve complex appeal scenarios, coordinating responses from multiple business units
• Research and analyze incoming electronic appeals, ensuring proper routing and identification of trends
• Act as a subject matter expert, providing training and support to staff and coordinating efforts across departments

Required Qualifications

• 1 year of experience in reading or researching benefit language in SPDs or COCs
• Demonstrated ability to manage multiple assignments accurately and efficiently
• Experience documenting workflows and reengineering efforts
• High School Diploma
• 1-2 years of experience in Medicare part C Appeals is preferred