New Jersey Licensed UM Appeals Analyst

Job Summary

A company is looking for a Managed Care Coordinator.

Key Responsibilities

• Handles initial screening for UM Appeals requests from physicians, members, facilities, and authorized representatives
• Enters Appeals in the medical management system and creates an appeal packet with clinical information and appeal requests

Required Qualifications

• Experience in UM Appeals or related field
• Knowledge of medical management systems
• Ability to work independently in a remote setting
• Residency in NJ, NY, PA, DE, or CT preferred
• Availability for a contract duration of 3-6 months