Appeals Specialist

Job Summary

A company is looking for an Appeals Specialist who will handle inquiries related to the appeals/dispute process.

Key Responsibilities

• Researches and responds to inquiries from various stakeholders regarding appeals
• Interprets requests and determines appropriate resolutions with minimal assistance
• Conducts research on federal regulations and contract policies to support decisions

Required Qualifications

• High School Diploma or equivalent
• Three (3) years of general office experience
• One (1) year of Medicare Qualified Independent Contractor appeals or professional business writing experience in relevant industries
• Managed Care experience preferred
• Resided in the United States for a minimum of three (3) years out of the last five (5) years