Senior Coordinator, Appeals Management

Job Summary

A company is looking for a Senior Coordinator, Complaint and Appeals (Remote).

Key Responsibilities

• Processing appeal determination letters, managing intake and expedited requests, and generating reports
• Supporting panel hearings and collaborating with clinical staff
• Completing tasks in accordance with regulatory standards and managing case movement within the Complaints and Appeals Tracking System (CATS)

Required Qualifications

• 1-2 years of experience in an administrative type role
• Proficiency in Microsoft Office Suite and basic computer skills
• 1-2 years of experience in healthcare appeals, grievances, or a related administrative role preferred
• 1+ year working in a healthcare setting is preferred
• High School Diploma required