Our Appeals Coordinator job description includes the Administrative Assistant responsibilities, duties, skills, education, qualifications, and experience.
About the Appeals Coordinator role
The Appeals Coordinator is responsible for managing the appeals process in a healthcare organization. This includes collecting and reviewing documentation, preparing appeals, and coordinating with other departments to ensure accuracy and timely filing. The Appeals Coordinator must have excellent organizational and communication skills, as well as a strong understanding of healthcare regulations.
Role Purpose
The purpose of an Appeals Coordinator is to provide administrative and technical assistance to ensure that appeals are processed efficiently and in accordance with established standards and procedures. The Appeals Coordinator will review appeals, prepare appeals documentation, ensure timely filing of appeals, and provide support to attorneys and other staff during the appeals process. The Appeals Coordinator will also provide data entry, tracking and reporting of appeals, and act as a liaison between attorneys, court personnel, and other stakeholders. Additionally, the Appeals Coordinator may be responsible for providing legal research and analysis, as well as participating in training and other activities related to appeals.
Appeals Coordinator Summary
The Appeals Coordinator is responsible for managing all administrative aspects of the appeals process for a variety of organizations. This role requires a detail-oriented individual who can handle multiple tasks and prioritize work in a fast-paced environment. The Appeals Coordinator must possess excellent communications skills, both oral and written, and maintain a high level of accuracy and confidentiality.
Primary duties and responsibilities include:
• Review incoming appeals requests and determine the appropriate course of action
• Proactively monitor and manage appeals deadlines
• Prepare and file appeals documents
• Coordinate communications between the appeals parties and the court
• Maintain records and reports of all appeals activity
• Ensure compliance with applicable laws, regulations, and policies
• Provide support to management in the appeals process
• Provide customer service to appeal stakeholders
• Other duties as assigned
Appeals Coordinator Duties
- Assist in case preparation for appeals hearings
- Identify areas of improvement in existing appeal processes
- Research and review case law to determine legal precedent
- Provide guidance to appeals teams
- Monitor and evaluate appeal outcomes
- Review and adjust appeal policies and procedures
Appeals Coordinator Skills
- Organizational skills
- Excellent written and verbal communication
- Ability to handle confidential information
Appeals Coordinator Requirements
- Bachelor's degree in Social Work, Psychology, or related field
- Experience in case management and/or appeals
- Strong written and oral communication skills
- Ability to work independently and as part of a team
- Proficiency in Microsoft Office Suite
- Knowledge of insurance policies and health care regulations
Personal Traits
- Excellent communication and interpersonal skills
- Organizational and problem-solving skills
- Attention to detail
- Ability to work independently and collaboratively
- Ability to prioritize tasks