Medicare Appeals Coordinator

Job Summary

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

Key Responsibilities

• Manage resolution of Fast Track Appeals for Medicare products, ensuring timely and customer-focused responses
• Research and triage incoming appeals, coordinating with multiple business units for resolution
• Act as a technical resource on regulatory language and appeal issues, identifying trends and recommending solutions

Required Qualifications

• 1+ years' experience in Medicare
• At least 1+ years in relevant areas such as claims, patient management, or compliance
• Experience in research and analysis of utilization management systems
• Proficient in Microsoft Word and exposure to Excel
• High school diploma/GED required; associate degree preferred