Senior Coordinator, Appeals Processing

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

Key Responsibilities

Process appeals, including determination letters and expedited requests

Update systems and complete necessary reporting while ensuring compliance with turnaround times and regulatory standards

Support the panel hearing process and collaborate with clinical support staff

Required Qualifications

High School Diploma

Knowledge of the appeals process or relevant experience

Ability to multi-task

Proficient in basic computer skills, including Microsoft Office Suite