Overview
Appeals & Letters Coordinator Jobs in Minneapolis, MN at Pride Health
Title: Appeals & Letters Coordinator
Company: Pride Health
Location: Minneapolis, MN
Pride Health is hiring an Appeals & Letters Coordinator to support our clients in a fully remote job opportunity! This is a 6-month assignment (Possibility of extension or conversion) opportunity and a great way to start working with a top-tier healthcare organization!
Job Details:
Job Name: Appeals & Letters Coordinator
Location: Remote
Duration: 6 months Contract (Possibilities of extension)
Pay rate: $25 to 28/hr. On W2 (Pay Rate is based on experience /educational qualifications)
Schedule: 8 AM to 4:30 PM (40 hrs. wk.) | Mon – Fri (5 days/wk.)
Job Responsibilities:
- Develop and maintain standardized appeal letter templates to support new and existing business groups.
- Conduct comprehensive review of the current suite of appeal letters and implement necessary revisions based on regulatory, operational, and group-specific requirements.
- Collaborate with Compliance and Legal teams to ensure all appeal letters meet federal, state, and payer-specific guidelines prior to approval.
- Incorporate compliance feedback and maintain version control documentation throughout the review cycle.
- Format, finalize, and protect documents for secure upload to SharePoint, ensuring appropriate access controls and document governance protocols are applied.
- Track letter development lifecycle from drafting through stakeholder review and final approval, maintaining status reports and documentation logs.
- Attend cross-functional project meetings and provide detailed status updates on letter development progress, outstanding revisions, and approval timelines.
- Ensure all appeal templates reflect accurate regulatory language, benefit determination standards, and denial rationale structure.
- Support audit readiness by maintaining organized documentation of template revisions, approval history, and compliance sign-offs.
Qualifications:
- 1+ years of experience handling appeals.
- Experience in handling the development/ creation or editing/ modification of appeals letter templates.
- Project/ Program Management experience is highly preferred.
- Proficiency with MS Office tools.
#PHCUHGClinical $250
Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
About Pride Health
Pride Health is Pride Global's healthcare staffing branch, providing recruitment solutions for healthcare professionals and the industry at large since 2010. As a minority-owned business that delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds, Pride Health's expert team provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment of trust and loyalty.
Equal Employment Opportunity Statement
As a certified minority-owned business, Pride Global and its affiliates – including Russell Tobin, Pride Health, and Pride Now – are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics
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