ModaHealth is Currently Hiring for Remote Appeals Coordinators Starting Pay $20.07- $23.03

ModaHealth is currently hiring for Remote Appeals Coordinators. This Work From Home PST position is open to candidates living or willing to relocate to the following States: Alaska, Arizona, Florida, Idaho, Oregon, and Washington! As a Remote Appeals Coordinator you will be responsible to Investigate and respond to medical, pharmacy and dental grievances, complaints, appeals, and inquiries for the organization as we as respond to outside regulatory inquiries as needed. Basic qualifications for this position are as follows:

1. High School diploma or equivalent.

   1. 6 months to 2 years of experience of medical/dental claims processor or customer service preferred.

   2. Demonstrated knowledge of CMS rules for Medicare and Medicaid grievance, complaint and appeal processes preferred.

   3. Knowledge and understanding of complaint and appeal procedures preferred.

2. Ability to interpret benefit contracts and/or Moda Health administrative policies, products, and business lines.

3. Demonstrated strong reading, verbal, written and interpersonal communication skills.

4. Demonstrated initiative, analytical, problem solving, and organizational skills.

5. 10 key proficiency of 105 kspm on a numeric keypad.

6. Type a minimum of 25 wpm accurately on a computer keyboard.

7. Demonstrated proficiency in computer applications such as Word, Excel, or other core operating systems.

8. Ability to work well under pressure and meet deadlines while completing a high volume of work.

9. Ability to maintain confidentiality and project a professional business image.

10. Ability to adhere to Moda Health attendance policies and work assigned schedule which may include some overtime and occasional weekend and Holiday coverage.

11. Ability to communicate positively, patiently, and courteously.

If you are interested in applying for this position and want to know more about the Company, Job Details, Requirements, and more, I have included the application link that will take you directly to ModaHealth official website below! Also, don't forget to stop by our " Weekly Remote Job Listing'' page to find out what remote open positions are available NOW!

ModaHealth- Appeals Coordinator | Remote | * AK, AZ, FL, ID, OR & WA locations $20.07- $23.03/HR