Medicare Appeals Coordinator

Job Summary

A company is looking for a Medicare Appeals Coordinator to manage member complaints related to Medicare services.

Key Responsibilities

• Coordinate and process member appeals, ensuring timely resolution within regulatory frameworks
• Document grievances accurately and maintain complete files with relevant information
• Collaborate with various departments and assist with external appeal investigations and responses

Required Qualifications

• Bachelor's Degree preferred
• 3-5 years of health plan experience, particularly in customer service or appeals and grievances
• Experience with Medicare products and plans is highly preferred
• Bilingual skills are a plus
• Strong aptitude for technology-based solutions