Appeals Management Coordinator

A company is looking for a Coordinator, Appeals Management to oversee appeals for the Prior Authorization Group.

Key Responsibilities

Perform denial research and follow-up with insurance companies to resolve pending appeals

Compile and submit appeal bundles to payers in a timely manner

Document appeal timeframes and payer processes within the proprietary system

Required Qualifications

High School Diploma or equivalent required; Bachelor's degree preferred

Understanding of denials processes for Medicare, Medicaid, and Commercial / Managed Care

Prior experience with hospital EMRs and Payer Portals preferred

Proficient in MS Word and Excel, with basic skills in Outlook

Ability to type a minimum of 25 wpm with a 90% accuracy rate