Appeals Management Coordinator

Job Summary

Working remotely, the full-time Appeals Management Coordinator will perform denial research, compile appeal bundles, and document processes while ensuring timely communication with insurance companies and clients.

Key responsibilities

• Conduct denial research and follow up with insurance companies to resolve pending appeals
• Compile and submit appeal bundles to payers in a timely manner
• Monitor shared inboxes and internal request dashboards, documenting incoming communications and following up as needed

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 accessing hospital EMRs and Payer Portals preferred
• Proficient in MS Word and Excel, with the ability to perform basic formulas and type a minimum of 25 wpm with 90% accuracy
• Strong computer proficiency, including intermediate skills with Outlook