Medical Appeals Coordinator (Remote)

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 Appeals 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
• Other duties as assigned

 

EDUCATION

• High School diploma or equivalent required

 

EXPERIENCE AND SKILLS

• 1 – 2 years of administrative experience required
• 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

• Accountability
• Communication
• Customer Service Orientation
• Functional/Technical Skills
• Quality Focus
• Time and Task Management

 

PHYSICAL DEMANDS

• This is a standard desk role requiring extended sitting and computer work

 

WORK ENVIRONMENT

Remote

 

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

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.

Compensation is not limited to base salary.  Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time.  All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process.  It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.