Senior Appeals Administrator

Job Summary

A company is looking for a Sr Admin - Appeals.

Key Responsibilities

• Maintain updated knowledge of project and corporate policies and procedures
• Analyze data submitted for Independent Medical Review and manage incoming healthcare information
• Respond to inquiries from clients, health plans, providers, and enrollees regarding case status and the appeals process

Required Qualifications

• Associate degree with 2+ years of experience, or HS Diploma/GED with 4+ years of experience
• Experience in healthcare or appeals processes preferred
• Proficient in data analysis and management
• Ability to function as a Subject Matter Expert in relevant areas
• Remote work setup with specific technical requirements (internet speed, OS compatibility)