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Appeals Coordinator

Remote:

Full Remote

Contract:

Full time

Experience:

Junior (1-2 years)

Work from:

United States

Offer summary

Qualifications:

High School Education required, 1+ years administrative experience, Proficient in Microsoft Word, Access, and Excel, Knowledge of medical terminology, Experience in healthcare or insurance industry preferred.

Key responsabilities:

Review, scan, and key incoming appeals
Prepare correspondence to clients and providers
Support fellow team members in tasks
Sort, prep, and key appeals in DocuVantage
Create coversheets for responses and documents

Allied Benefit Systems, LLC Unicorn https://www.alliedbenefit.com/

501 - 1000 Employees

See more Allied Benefit Systems, LLC offers

Job description

Position Summary

The Appeal Coordinator is an intermediate level administration position that works with providers, members, clients, and various departments to complete job responsibilities. The Appeal Coordinator is responsible for reviewing, scanning and keying incoming appeals in DocuVantage, along with preparing the necessary correspondence to clients and providers. The Coordinator also works with other team members to assist in fulfilling tasks.

Essential Functions

Review, copy, and prepare the necessary documentation to scan incoming appeals.
Sort, prep, key and scan appeals and pertinent information in DocuVantage.
Support incoming faxes; prep and sort documents
Create coversheets for responses and miscellaneous mail requiring scanning.
Perform other assigned tasks and duties necessary to support the team.
Other duties as assigned by management

EDUCATION

High School Education required.

Experience And Skills

1+ years administrative experience
Knowledge of medical terminology
Experience within healthcare, claims, third-party administration, or insurance industry preferred
Must be proficient in Microsoft Word, Access, and Excel programs and can easily learn other data systems.
Ability to read, analyze and interpret general plan benefits and guidelines.
Ability to effectively respond to questions from management, co-workers, members, providers, and clients.

POSITION COMPETENCIES

Communication
Customer Focus
Accountability
Functional/Technical Job Skills

PHYSICAL DEMANDS

This is an office environment requiring extended sitting and computer work.

WORK ENVIRONMENT

Remote

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.