Tennessee Licensed Appeals Coordinator

A company is looking for an Appeals and Letters Coordinator remote position.

Key Responsibilities :

Process denial-related and member-oriented written communications in compliance with Federal and State requirements

Act as a liaison for internal and external communication regarding appeals and denials, ensuring timely processing and documentation

Write and document appeal and denial letters, coordinating with healthcare professionals and organizations as needed

Required Qualifications :

Active, unrestricted registered clinical license in state of residence (e.g., Registered Nurse, Physical Therapist)

3+ years of clinical experience in a relevant field

Proficient with Windows and Microsoft Office Suite

Ability to work four or more holidays per year on a rotating basis

Dedicated workspace with high-speed internet access at home