What are the responsibilities and job description for the Coordinator-Appeals position at Integrated Resources?
Position : Coordinator Appeals
Pay : $17.20 / hr
Essential Duties and Responsibilities :
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and / or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls / emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
- Minimum Requirements :
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
Salary : $17
