Senior Coordinator Appeals Operations
Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025
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Job Description:
A company is looking for a Senior Coordinator Complaint Appeals
Operations, fully remote.
Key Responsibilities
Manage resolution of complex appeal scenarios, coordinating
responses from multiple business units
Research and resolve incoming electronic appeals, acting as a
subject matter expert on workflows and appeals processes
Identify trends in misrouted work and deliver internal quality
reviews while supporting audits and regulatory meetings
Required Qualifications
1-2 years of Medicare Part C Appeals experience
1 year of experience in reading or researching benefit language in
SPDs or COCs
1 year of experience in research and analysis of claim
processing
High School Diploma
Experience documenting workflows and reengineering efforts
Keywords: VirtualVocations, Altadena , Senior Coordinator Appeals Operations, Other , Vista, California
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