Appeals Coordinator
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Job Description
Appeals Coordinator responsible for reviewing post service appeals for insurance carriers. Ensuring documentation compliance and assigning tasks to subject matter experts.
Responsibilities:
- Responsible for reviewing incoming post service appeals for insurance carriers in all states.
- Confirm all necessary documentation has been received as required by state regulations.
- Review and assign appeals to the appropriate subject matter experts.
- Conduct comprehensive reviews on all documentation submitted.
- Associate documents to carrier claim and ensure all required documents have been received.
- Attach additional documentation from multiple systems when necessary.
- Request documentation from other sources both internal and external partners.
- Utilizing proprietary databases to assign appeals to subject matter experts.
- Other duties as assigned.
Requirements:
- High School Diploma required with excellent communication skills
- Ability to work in a fast-paced environment and utilizing multiple databases
- Excellent problem solving, critical thinking and decision-making skills.
- Good communication skills, able to communicate clearly and succinctly, both verbally and in writing
- Good organizational skills.
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