Senior Coordinator, Appeals Management

A company is looking for a Senior Coordinator, Complaint and Appeals (Remote, PST).

Key Responsibilities

Oversee investigations and resolutions of appeals, ensuring timely and customer-focused responses

Coach team members on compliance with federal and state regulations while managing escalated cases

Research and translate policies into clear responses for senior leadership regarding escalated cases

Required Qualifications

At least 2+ years of experience in claims, patient management, compliance, or related fields

Some knowledge of Medicare and / or Medicaid is preferred

Experience in researching benefit language

Ability to work in a fast-paced, high-volume environment

High School diploma or GED required