Appeals Coordinator

Job Summary

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

Key Responsibilities

• Schedule and manage Peer to Peer calls with medical directors and payers
• Document information from payer calls in the proprietary system and update account status in multiple databases
• Provide support for case entry, Peer to Peer, and appeals functions within the department

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 product lines is a plus
• Prior experience with hospital EMRs and Payer Portals preferred
• Proficient in MS Word and Excel, with accurate keyboard skills (minimum 30 wpm typing speed)