Medicare Appeals Coordinator

Job Summary

A company is looking for a Medicare Appeals and Grievances Coordinator.

Key Responsibilities

• Coordinate, process, and document member and provider appeals and grievances
• Maintain tracking information and ensure timely resolution of all appeals
• Prepare reports for stakeholders and assist in external reviews as needed

Required Qualifications

• Bachelor's Degree or equivalent years of experience
• 3-5 years of health plan experience, preferably in customer service or appeals
• Experience in Medicare appeals is highly preferred
• Strong aptitude for technology-based solutions
• Excellent organizational abilities to manage multiple tasks and deadlines