Job Details

A company is looking for a Senior Coordinator, Complaint & Appeals.Key ResponsibilitiesConducts team reviews and escalates complex issues to managementEnsures compliance with regulatory requirements and addresses identified issuesFacilitates reviews of decisions and oversees the drafting of appeal decision lettersRequired Qualifications3-5 years of experience in a Customer Service role preferredExperience in reading or researching benefit languageKnowledge of Medicare and/or MedicaidAt least 5 years of relevant experience in claims, compliance, or customer serviceHigh school diploma or equivalent required