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.