Physical Health Coordinator; Appeals Non-Clinical

Physician Health Coordinator

Job Type: W2 contract

Hours: 40/week M-F

Pay Rate: $20/hour

Open to Candidates in the Following States: IL, NM, TX, OK, MT, or TN.

We are seeking a dedicated Physical Health Coordinator (Appeals Non-Clinical) to join our dynamic team! In this remote role within Illinois, New Mexico, Texas, Oklahoma, Montana, or Tennessee, you’ll play a vital part in helping members and providers navigate the appeals process, providing exceptional support and making a difference in people’s healthcare journeys.

• Respond to inquiries from members, clinicians, and physicians with professionalism and empathy.
• Distribute appeals to clinicians based on specified parameters.
• Maintain production standards to meet department goals.
• Support clinical staff by handling non‑clinical tasks essential for case resolution.
• Research appeal cases and communicate findings to involved parties.
• Upload clinical data to external review organizations when necessary.
• Delegate work items efficiently and effectively.
• Collaborate and communicate clearly with team members and external partners.
• Uphold HIPAA, compliance policies, and maintain confidentiality at all times.
• Contribute to special projects and provide ongoing updates to management.

• 1–2 years of experience with automated systems or a minimum of 3 years of relevant experience.
• Strong knowledge of medical terminology.
• Excellent customer service and communication skills, both verbal and written.
• Experience with database or PC applications.
• Ability to work cross‑departmentally and resolve issues efficiently.
• Commitment to confidentiality and compliance with healthcare regulations.

• Prior experience in healthcare appeals or claims processing.
• Familiarity with healthcare management platforms.
• Bilingual skills, especially in Spanish, are a plus.

• College coursework or technical training in healthcare or related fields.
• Experience supporting members, analyzing needs, and coordinating care.