Appeals Supervisor

The Appeals (Provider Relations) Supervisor is responsible for daily operations within the Provider Relations department. The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely and accurate processing of internal and external requests along with appeal submissions. Additionally, the supervisor works to reduce response time frames and mitigate future inquiries or escalations by being proactive, taking ownership of challenges, and formulating solutions to improve overall department activities while maintaining a focus on improving how we deliver service to our customers.

This is a remote position.

• Manage team performance by setting and communicating standards and deadlines, measuring results, and providing feedback. Maintain positive morale by leading the team through example and accountability with a focus on helping each member achieve their best performance.
• Assist leadership in obtaining complex information from various financial, clinical and operational systems and data sources.
• Assist with pricing of claims according to provider contracts.
• Assist the team with problem solving regarding customer complaints or inquiries, including bill review disputes verbally and in written communication.
• Identify, quantify and monitor account detail or workflow processes for barriers. Make process improvements or initiate courses of action for problem resolution.
• Participate in panel interviews, prepare new hire documentation, facilitate associate orientation, and participate in the termination process (i.e., document performance issues, recommend disciplinary actions).
• Ensure new employees are oriented to the organization, its policies, facilities, etc.
• Provide ongoing guidance to employees, often in the form of ongoing career coaching, counseling and performance appraisal.
• Independently lead initiatives as assigned by management, coordinate task teams or forums to deliver results as identified and/or determined by leadership, and provide formal updates and closure.
• Handle escalated requests from clients and/or executive leadership.
• Ensure strict confidentiality of all medical records, PHI, and PII.
• Perform additional duties as assigned.

• Work independently and use critical thinking.
• Strong understanding of claims processing, ICD-10 Coding, DRG Validation (if applicable).
• Proficiency with MS Office (Word, PowerPoint, Excel, Outlook), Windows operating system, and Internet.
• Strong analytical and problem‑solving skills.
• Strong attention to detail and ability to deliver results in a fast‑paced, dynamic environment.
• Strong interpersonal skills and an adaptive communication style, complex problem‑solving skills, drive for results, and innovation.
• Work independently while collaborating within a team environment.

• 5+ years of relevant experience in a medical or insurance field.
• 3+ years of prior supervisory/management or project management experience (a plus).
• 3+ years of relevant experience or an equivalent combination of education and work experience.
• Associate degree or higher preferred.
• Demonstrated knowledge of CMS guidelines and ICD‑10 coding guidelines as applicable.

Cor Vel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account federal, state, and local minimum wage requirements, the geographic location differential, job‑related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.)

new hires may be slotted into a different level, either up or down, based on assessment during the interview process, taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $22.63 - $33.77 per hour. A list of our benefit offerings can be found on our Cor Vel website:
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