Senior Appeals Coordinator

Job Summary

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

Key Responsibilities

• Conducts reviews and escalates complex patient appeals to management
• Ensures compliance with regulatory requirements and conducts internal audits
• Facilitates educational programs and mentors staff on handling complaints and appeals

Required Qualifications, Training, and Education

• 3-5 years of experience in a Customer Service role
• Knowledge of Medicare and/or Medicaid
• 5 years of experience in claims, patient management, or compliance analysis
• High school diploma or equivalent required
• Availability to work alternating weekends