MedReview

As an Appeals Coordinator level II, you will assist Appeals leadership with daily administrative work, perform research, investigation, and analysis of appeals, grievances, and complaints, and ensure timely resolution of cases. You will work in a remote setting, using your skills in problem-solving, analytical thinking, and communication to resolve health plan requests and provider inquiries.

Requirements

• Associates Degree
• 3+ years of experience working in the healthcare industry
• Experience in inpatient claims, DRG and High-Cost Outlier claims
• Experience in DRG Pricing using WebStrat
• Knowledge in claim payment methodology
• Good MS Office skills, particularly Excel
• Excellent problem-solving and analytical skills
• Ability to manage priorities in a complex environment
• Excellent organization and time management skills
• Excellent written and verbal communication skills
• Ability to meet strict, time-sensitive deadlines
• Ability to cope well with ambiguity and stressful situations
• Must show patience and the ability to remain calm under pressure in an atmosphere of frequent interruptions

Benefits

• Healthcare that fits your needs
• 401(k) with Employer Match
• Generous Paid Time Off
• Wellness
• Learning & Development