Remote Appeals Coordinator

Job Summary

Monitoring and tracking the status of appeals, the full-time Remote Appeals Coordinator will review medical claims appeals, document claim specifics, and coordinate with business partners for resolution in a fully remote environment.

Key responsibilities

• Log and track all appeals received, ensuring timely completion of tasks
• Review appeal documentation and Summary Plan Documents to determine the validity of appeals
• Compose appeal responses and communicate with departments and clients as necessary

Required qualifications

• Bachelor's degree or equivalent work experience required
• Minimum of 2 years of experience handling medical claims appeals
• Proficiency in Microsoft Office Suite or related software
• Ability to analyze claim situations and take appropriate actions
• Strong organizational skills with the ability to meet deadlines