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 compliance with regulations and timely responses
• Coach and mentor new staff while managing inventory and escalating compliance issues as necessary
• Research and translate policies into clear communications for leadership regarding escalated cases

Required Qualifications

• 3-5 years of experience in a Customer Service role
• Experience in reading or researching benefit language
• Knowledge of Medicare and/or Medicaid
• At least 5 years of relevant experience in claims, compliance, or customer service
• Bachelor's Degree or equivalent work experience