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, coordinating responses from multiple business units
• Research and triage incoming Medicare Fast Track appeals, ensuring appropriate routing and resolution
• Act as a technical resource for colleagues on regulatory language and appeal issues, while identifying trends and recommending solutions

Required Qualifications

• 1+ years' experience in Medicare
• 1+ years in relevant areas such as claims, patient management, compliance, or customer service
• Experience in research and analysis of utilization management systems
• Proficient in computer use, including Microsoft Word and exposure to Excel
• High school Diploma/GED required; Associate Degree preferred