State Licensed Appeals Coordinator

Job Summary

A company is looking for an Appeals and Letters Coordinator to support the processing of denial-related communications and appeals in a remote setting.

Key Responsibilities

• Ensure timely processing of denial-related and member-oriented written communications according to protocol
• Act as a liaison for internal and external communication regarding appeals and denials
• Document and communicate appeal and denial information, including writing member-facing and client-facing letters

Required Qualifications

• Active, unrestricted registered clinical license in state of residence (e.g., RN, PT, OT, or ST)
• 3+ years of clinical experience in a relevant field
• Proficient with Windows and Microsoft Office Suite
• Ability to work four or more holidays per year on a rotating basis
• Dedicated workspace with high-speed internet access at home