Appeals Representative

Job Summary

A company is looking for an Appeals Representative (Remote).

Key Responsibilities

• Prepares appeals and grievances for review by the Review Committees
• Researches issues and documents appeals in relevant systems
• Prepares response letters and non-compliance letters as needed

Required Qualifications

• High School diploma required
• Minimum two years of customer service experience, preferably in managed care or health care
• Proficient in computer programs such as Word and Excel