State Licensed Appeals Coordinator

Job Summary

A company is looking for an Appeals and Letters Coordinator - Remote.

Key Responsibilities

• Process denial-related and member-oriented written communications according to protocol and documentation requirements
• Act as a liaison for communication with internal and external customers regarding appeals and denials
• Document and communicate appeal and denial information, ensuring compliance with CMS guidelines

Required Qualifications

• Active, unrestricted registered clinical license in state of residence (RN, PT, OT, or ST)
• 3+ years of clinical experience in a relevant field
• Proficient with Windows and Microsoft Office Suite
• Ability to work four or more holidays per year on a rotating basis
• Dedicated workspace with high-speed internet capability