Medicare Appeals Coordinator

Job Summary

A company is looking for a Senior Coordinator, Complaint & Appeals - Remote.

Key Responsibilities

• Manage and resolve Fast Track Appeal scenarios for Medicare products, coordinating responses from multiple business units
• Research and resolve complex appeals, identify trends in misrouted work, and ensure compliance with established timeframes
• Act as a subject matter expert, providing training and support to staff, and coordinating efforts across departments for claims research and appeals

Required Qualifications

• Knowledge of Fast Track Appeals and CMS Guidelines
• Experience with MS Word, MS Excel, MHK, QuickBase applications, Avaya System, and GPS
• 2-3 years of experience in Medicare platforms, patient management compliance, regulatory analysis, or customer service
• Education: HS Diploma, Associate's degree, or equivalent experience