Appeals Management Coordinator

Job Summary

A company is looking for a Coordinator, Appeals Management to oversee appeals for the Prior Authorization Group.

Key Responsibilities

• Perform denial research and follow-up with insurance companies to resolve pending appeals
• Compile and submit appeal bundles to payers in a timely manner
• Document appeal timeframes and payer processes within the proprietary system

Required Qualifications

• High School Diploma or equivalent required; Bachelor's degree preferred
• Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care
• Prior experience with hospital EMRs and Payer Portals preferred
• Proficient in MS Word and Excel, with basic skills in Outlook
• Ability to type a minimum of 25 wpm with a 90% accuracy rate