Administrative Appeals Coordinator
Company: VirtualVocations
Location: Erie
Posted on: March 29, 2025
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Job Description:
A company is looking for an Administrative Appeals
Coordinator.
Key Responsibilities:
Counts and logs member and claim data, generating appeal claim
identification numbers and files
Assists claim appeal analysts with retrieving completed files and
responds to inquiries on the Claim Appeal Hotline
Educates providers and billing agencies on Medicaid Operations
appeal processes and recommends improved business processes
Required Qualifications:
High School Diploma/GED required
Minimum of one year customer service and/or healthcare experience,
preferably in a Health Maintenance Organization and/or Managed Care
environment
Preferred one year experience in the research of complaints or
appeals
Preferred knowledge of Medicaid Managed Care and
Traditional/Indemnity insurance industries
Preferred knowledge of medical terminology
Keywords: VirtualVocations, Erie , Administrative Appeals Coordinator, Administration, Clerical , Erie, Pennsylvania
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