Appeals Specialist

Job is Expired
Location: Remote
Compensation: Salary
Reviewed: Fri, Jan 16, 2026

Job Summary

A company is looking for an Appeals Specialist I (Remote).

Key Responsibilities
  • Analyze appeals and grievances, prioritizing and organizing information for processing
  • Communicate with internal and external stakeholders while ensuring confidentiality of medical information
  • Assist in unit projects and provide feedback for workflow improvements
Required Qualifications
  • High School Diploma or GED
  • 3 years of experience in managed care, health care, or insurance payor environments
  • Preferred: College degree
  • Knowledge of medical terminology
  • Experience with CareFirst systems or related areas is a plus

COMPLETE JOB DESCRIPTION

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