Appeals Coordinator

Lumeris

. Review, evaluate, document, and track appeal documents .

Posted 10/23/2026full-timeRemote • United StatesJunior💰 $39,000 - $48,150 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing appeal processes, ensuring compliance with state and federal regulations, and providing quality written communication. Capable of multi-tasking and adapting to changing priorities while maintaining attention to detail.

Highest-signal resume keywords

Appeals Process ManagementCompliance With RegulationsWritten Communication SkillsAttention To DetailMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Appeals DocumentationCase File PreparationQuality AssuranceRegulatory ComplianceData Tracking

Soft Skills

Learning AgilityProfessional InteractionConfidentialityMulti-taskingAdaptability

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft Outlook

Industry Keywords

Appeal ResolutionIndependent Review EntitiesState RegulationsFederal RegulationsEthical Standards

About the role

Key responsibilities & impact

Review, evaluate, document, and track appeal documents
Follow requests through resolution according to established processes, procedures, and time standards
Create, compose, and provide quality written responses to appeal requests
Identify areas of improvement for self and the department
Prepare case files for Independent Review Entities or other levels of the Appeals process
Communicate with members and providers regarding appeal resolution
Perform peer QA of appeal notification letters
Ensure compliance with applicable state and federal regulations, standards, timelines, policies, and guidelines
Work weekends and company holidays as needed based on business regulatory requirements

Requirements

What you’ll need

High School or equivalent
1+ years Appeals related experience or the knowledge, skill, abilities to succeed in the role
Strong learning agility and enthusiastic about developing new skills
Ability to interact professionally and maintain confidentiality and high ethical standards
Ability to multi-task, meet deadlines, and adapt to changing priorities
Solid oral and written communication skills
Good computer skills, specifically with Microsoft Word, Excel, PowerPoint, and Outlook
Solid attention to detail
Authorized to work in the United States
Unable to sponsor visas for this role

Benefits

Comp & perks

Medical, Vision and Dental Plans
Tax-Advantage Savings Accounts (FSA & HSA)
Life Insurance and Disability Insurance
Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
Employee Assistance Program
401k with company match
Employee Resource Groups
Employee Discount Program
Learning and Development Opportunities
Performance-based incentive and/or equity may apply to certain roles