Job Summary

A company is looking for an Appeals Specialist I.

Key Responsibilities:

• Provide customer service and respond to inquiries promptly and accurately
• Interpret requests and determine appropriate responses independently
• Log calls and receipts, identify trends, and schedule coordination meetings as needed

Required Qualifications:

• High School Diploma or equivalent
• Three years of general office experience
• One year of Medicare appeals experience OR one year of professional business experience in healthcare, customer service, or legal industries
• Inpatient Hospital and/or Home Health Hospice claims/appeals experience preferred
• Appeals/grievances experience and dispute resolution experience preferred