Appeals Coordinator

Position: Appeals Coordinator

Job Type:                    Full-time

Status:                         Non-Exempt

Location:                    Hamilton NJ

Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.

Reports to: Director of Arbitration Litigation 

Position Purpose: 

As an Appeals Coordinator, you will be responsible for reviewing incoming post service appeals for insurance carriers in all states. You will confirm all necessary documentation has been received as required by state regulations. You will review and assign appeals to the appropriate subject matter experts.

Primary Duties and Responsibilities:

• Conduct comprehensive reviews on all documentation submitted
• Associate documents to carrier claim and ensure all required documents have been received
• Attach additional documentation from multiple systems when necessary
• Request documentation from other sources both internal and external partners
• Utilizing proprietary databases to assign appeals to subject matter experts
• Other duties as assigned

Job Requirements:

• High School Diploma required with excellent communication skills
• Ability to work in a fast-paced environment and utilizing multiple databases
• Excellent problem solving, critical thinking and decision-making skills.
• Good communication skills, able to communicate clearly and succinctly, both verbally and in writing
• Good organizational skills.
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Physical requirements/Working conditions:

• Minimal physical requirements
• Dynamic, time-sensitive environment
• Working remotely

EEOC STATEMENT:

Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.