Appeals Coordinator

Job Summary

A company is looking for an Appeals Coordinator: Peer to Peer.

Key Responsibilities

• Schedule and conduct Peer to Peer calls with payers and medical directors
• Document information from payer calls and update account status in multiple databases
• Support various departmental functions including case entry and appeals support

Required Qualifications

• High School Diploma or equivalent required; Bachelor's degree preferred
• Call center experience preferred
• Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care is a plus
• Proficient in MS Word and Excel, with accurate keyboard skills (minimum 30 wpm)
• Prior experience accessing hospital EMRs and payer portals preferred