Senior Appeals Operations Coordinator — Medicare & Claims

CVS Health; Austin (TX); On-site; USD 25,485 - 48,615; Full time

Benefits offered by this job

Affordable medical plan options

401(k) plan with company matching

Employee stock purchase plan

Wellness programs and financial coaching

Flexible work schedules

Job summary

A leading health solutions company in Austin, Texas, is seeking a Senior Coordinator for Complaint Appeals Operations. This role involves researching and resolving various appeals, coordinating cross-departmental efforts, and addressing complaints. Candidates should possess strong communication skills and knowledge of Medicare. The position offers full-time hours and a competitive salary range, alongside comprehensive benefits aimed at investing in employees' well-being.

Qualifications

• Excellent verbal and written communication skills are essential.
• Demonstrated ability to handle multiple assignments competently and efficiently.
• Medicare knowledge or experience is required.

Responsibilities

• Research and resolve incoming electronic appeals as a single-point-of-contact.
• Coordinate efforts internally and across departments to resolve claims research.
• Identify trends and emerging issues to provide reports and input.

Skills

Excellent verbal and written communication skills

Excellent customer service skills

Medicare knowledge/experience

Education

High School Diploma

Job description

A leading health solutions company in Austin, Texas, is seeking a Senior Coordinator for Complaint Appeals Operations. This role involves researching and resolving various appeals, coordinating cross-departmental efforts, and addressing complaints. Candidates should possess strong communication skills and knowledge of Medicare. The position offers full-time hours and a competitive salary range, alongside comprehensive benefits aimed at investing in employees' well-being.