CERIS Policy & Payment Integrity Coordinator I

About the role

The CERIS Policy & Payment Integrity Coordinator (PPI Coordinator) plays a key role in supporting the Policy and Payment Integrity teams by managing workflow, ensuring timely assignment of appeals, and maintaining accurate tracking systems. This position requires strong organizational skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment.

Responsibilities

• Manage and monitor general PPI department mailboxes to ensure timely review and routing of incoming correspondence
• Assign appeals to appropriate team members based on established workflows and production needs
• Maintain and update appeal trackers to ensure accurate and current data is available for reporting and performance monitoring
• Track the status of assigned appeals to support timely completion and compliance with internal expectations and external deadlines
• Identify workflow delays or discrepancies in tracking systems and escalate to leadership as appropriate
• Collaborate with supervisors and team leads to balance workloads and support production goals
• Aid in preparing reports, summaries, or metrics related to appeals volume, assignments, and completion rates
• Support special projects, audits, and process improvements as directed by leadership
• Maintain confidentiality and compliance with organizational policies and applicable regulations

Requirements

This is a remote position.

Qualifications

• High school diploma or equivalent required

Skills

• Strong organizational and time management skills with the ability to prioritize tasks effectively
• Excellent written and verbal communication skills
• Strong attention to detail and accuracy
• Ability to work both independently and collaboratively within a team environment
• Proficiency in Microsoft Office applications (Excel, Outlook, Word)
• Ability to learn internal systems

Pay

Pay Range: $21.10 - $31.56 per hour

Schedule

Remote Position