Medicare Appeals Coordinator

Company: VirtualVocations
Location: Vista
Posted on: May 7, 2025

Job Description:

A company is looking for a Senior Coordinator Complaint Appeals Operations - Fully Remote.
Key Responsibilities

Manage and resolve appeal scenarios for various products, coordinating responses from multiple business units
Research and analyze incoming electronic appeals, identifying trends and rerouting inappropriate work items
Act as a subject matter expert, providing training and support to staff regarding claims and appeals processes

Required Qualifications

1-2 years of Medicare Part C Appeals experience
1 year of experience in reading or researching benefit language in SPDs or COCs
1 year of experience in research and analysis of claim processing
High School Diploma

Keywords: VirtualVocations, Encinitas , Medicare Appeals Coordinator, Other , Vista, California

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