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Appeals Coordinator

2 months ago

Lombard, United States Semdinc Full time

The Appeals Coordinator is responsible for coordinating the appeals process, tracking the status of appeals, ensuring timely follow-up, and communicating with patients and providers regarding appeal status.

Key Responsibilities:

- Coordinate and manage the appeals process from start to finish.

- Track the status of appeals and ensure timely follow-up.

- Communicate with patients, healthcare providers, and insurance companies regarding appeal status.

- Prepare and submit appeal documentation accurately and promptly.

- Maintain comprehensive records of appeals, including submission dates, statuses, and outcomes.

- Identify and implement improvements to the appeals process.

- Provide training and support to staff on the appeals process and best practices.

- Ensure compliance with all relevant regulations and guidelines.

Qualifications:

- Bachelors degree in Healthcare Administration, Business, or a related field.

- 2+ years of experience in appeals coordination or a related role.

- Strong understanding of insurance appeals processes and regulations.

- Excellent organizational and time management skills.

- Proficiency in medical billing software and Microsoft Office Suite.

- Strong communication skills, both written and verbal.

- Attention to detail and the ability to work independently.

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