Complaint and Appeals Coordinator

Location: Remote
Compensation: Hourly
Reviewed: Thu, May 01, 2025
This job expires in: 3 days
HMO Claims Traditional Claims Patient Management Compliance Analysis

Job Summary

A company is looking for a Complaint and Appeals Coordinator, fully remote.

Key Responsibilities
  • Manage resolution of complaint and appeal scenarios across multiple products and business units
  • Ensure timely, customer-focused responses to complaints and appeals
  • Identify trends and emerging issues, and report with recommended solutions
Required Qualifications
  • 1 year of experience with HMO and Traditional claim platforms, patient management, and compliance analysis
  • Experience in customer service or audit roles
  • High School diploma or equivalent
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