Senior Appeals Coordinator

Job Summary

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

Key Responsibilities

• Oversee the investigation and resolution of appeals, ensuring timely and customer-focused responses
• Coach team members on compliance with federal and state regulations and manage inventory of appeals
• Research and translate policies into clear responses for escalated cases while identifying trends and recommending solutions

Required Qualifications

• At least 2+ years in claims platforms, patient management, compliance analysis, or customer service
• Some knowledge of Medicare and/or Medicaid is preferred
• Experience in reading or researching benefit language
• Ability to work in a fast-paced, high-volume environment
• High School diploma or GED required