CERIS Policy & Payment Integrity Coordinator I

CERIS•Fort Worth, TX

1d•$21 - $32•Remote

About The Position

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. This is a remote position.

Requirements

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) and ability to learn internal systems
High school diploma or equivalent required

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
Assist with 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
Additional duties as assigned