Medicare Appeals Coordinator

Job Summary

A company is looking for a Medicare Appeals Intake Coordinator.

Key Responsibilities

• Ensure proper appeal classification and identification of valid appeals through intake and triage of cases
• Receive, review, and log appeal requests, maintaining accurate records and compliance with regulations
• Identify urgent cases and process them expeditiously while generating necessary communications

Required Qualifications

• High School Diploma or equivalent required
• 1+ years of experience in Managed Care Organization, health insurance, or related fields required
• Experience in Medicare appeals or related field preferred
• Familiarity with Medicare regulations and CMS guidelines preferred
• Experience handling requests related to dual-eligible members preferred