Senior Coordinator, Appeals Compliance

A company is looking for a Senior Coordinator, Complaint & Appeals - Work From Home.

Key Responsibilities

Oversee the investigation and resolution of appeals scenarios, ensuring timely and customer-focused responses

Coach team members on compliance with Federal and State regulations and manage inventory of appeals

Research and translate policies into clear responses for escalated cases, collaborating across functions to resolve issues

Required Qualifications

At least 2+ years of experience in claims, patient management, compliance, or customer service

Some knowledge of Medicare and / or Medicaid is preferred

Experience in reading or researching benefit language

Ability to work in a fast-paced, high-volume environment

High School diploma or GED is required