Appeals Specialist

Job Summary

Researching and responding to inquiries from various stakeholders, the full-time Appeals Specialist will manage the appeals/dispute process remotely, ensuring timely and accurate customer service and resolution of issues.

Key responsibilities

• Provides customer service and responds to inquiries via phone, fax, mail, or email
• Interprets requests and determines appropriate responses to resolve issues
• Conducts research using federal regulations and contract policies to support decisions

Required qualifications

• High School Diploma or equivalent
• Three years of general office experience, with education or training substitutable on a year-for-year basis
• One year of experience in Medicare Qualified Independent Contractor appeals or Veterans Affairs, or professional business writing in healthcare, customer service, or legal industries
• Must have resided in the US for three of the last five years