Senior Appeals Coordinator

Employer Industry: Healthcare Services

• Salary up to $30.12 per hour
• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to make a positive impact on claims processing accuracy and member satisfaction
• Comprehensive training on claims policies and procedures
• No travel required; work in a stable office environment

• Conduct detailed reviews of claims inquiries and appeals from members and providers
• Render independent decisions based on thorough research of claims processing activities
• Generate timely written correspondence in response to appeals and inquiries
• Ensure compliance with government guidelines while upholding member appeal rights
• Identify and report errors in claims processing, initiating referrals as necessary

• High School diploma or GED required
• 5-10 years of related, progressive experience in claims processing or a similar field
• Strong verbal and written communication skills
• Solid customer service skills with the ability to make independent decisions
• Thorough knowledge of claims policies, benefits, and medical terminology

• Experience with processing systems in a healthcare setting
• Familiarity with HIPAA regulations and compliance requirements

#Healthcare Services #Claims Processing #Customer Service #Career Opportunity #Competitive Pay

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