Appeals Coordinator II
Company: VirtualVocations
Location: Vista
Posted on: May 5, 2025
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Job Description:
A company is looking for an Appeals Coordinator II to assist
with administrative work in the Appeals Department.
Key Responsibilities
Perform research, investigation, and analysis of appeals,
grievances, and complaints to ensure timely resolution
Prepare and disseminate case files for external reviews and manage
all appeals from non-participating providers
Log and track grievances and consult with managers on problem cases
to facilitate resolution
Required Qualifications
Associates Degree or equivalent experience in the healthcare
industry
3+ years of experience in healthcare, with a preference for
inpatient claims and DRG knowledge
Familiarity with claim payment methodology and DRG pricing using
WebStrat
Proficient in MS Office, particularly Excel
Ability to manage priorities in a complex environment and meet
strict deadlines
Keywords: VirtualVocations, El Monte , Appeals Coordinator II, Other , Vista, California
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