Medicare Appeals Coordinator

Job Summary

A company is looking for a Senior Coordinator, Complaint & Appeals - Work From Home.

Key Responsibilities

• Manage Fast Track Appeal scenarios for Medicare products, coordinating responses from multiple business units
• Research and resolve Fast Track Appeals, ensuring compliance with regulatory and internal timeframes
• Act as a subject matter expert, providing training and support to team members and other departments

Required Qualifications

• Knowledge of Fast Track Appeals and CMS Guidelines
• 2-3 years of experience in Medicare platforms, compliance, and regulatory analysis
• High School Diploma or Bachelor's Degree or equivalent experience
• Experience with MS Word, MS Excel, and relevant applications
• Ability to maintain confidentiality and adhere to data security standards