US
0 suggestions are available, use up and down arrow to navigate them
PROCESSING APPLICATION
Hold tight! We’re comparing your resume to the job requirements…
ARE YOU SURE YOU WANT TO APPLY TO THIS JOB?
Based on your Resume, it doesn't look like you meet the requirements from the employer. You can still apply if you think you’re a fit.
Job Requirements of Coordinator-Appeals:
-
Employment Type:
Contractor
-
Location:
New York, NY (Onsite)
Do you meet the requirements for this job?
Coordinator-Appeals
Careers Integrated Resources Inc
New York, NY (Onsite)
Contractor
Location: Remote
Time Zone: EST
Hours of Operations: 8:00 am - 5:00 pm
Start Date: 09/15/2025
Pay Rate: ***
Type: Long Term Assignment (9-12 months) for now
Interview Process: TEAMS
Job Description 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.
This position may assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements:
- High School diploma or equivalent required
- 2-4 years of related experience.
Critical Skills Needed for this Position:
Computer literacy
Active participation with TEAMS/Zoom environment
Attention to details
Typing - 25 wpm
Ability to communication in a professional work environment whether in remote or in person
Ability to work in a team environment
Ability to multitask
Can do attitude
Professionalism
Time Zone: EST
Hours of Operations: 8:00 am - 5:00 pm
Start Date: 09/15/2025
Pay Rate: ***
Type: Long Term Assignment (9-12 months) for now
Interview Process: TEAMS
Job Description 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.
This position may assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements:
- High School diploma or equivalent required
- 2-4 years of related experience.
Critical Skills Needed for this Position:
Computer literacy
Active participation with TEAMS/Zoom environment
Attention to details
Typing - 25 wpm
Ability to communication in a professional work environment whether in remote or in person
Ability to work in a team environment
Ability to multitask
Can do attitude
Professionalism
Get job alerts by email.
Sign up now!
Join Our Talent Network!