Appeals Specialist I

Job is Expired
Location: Remote
Compensation: Salary
Reviewed: Thu, Dec 11, 2025

Job Summary

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

Key Responsibilities
  • Analyze appeals and grievance correspondence, determining next steps for processing
  • Maintain accurate records and communication regarding appeals and grievances
  • Assist with unit projects and provide feedback for workflow improvement
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 Medicare/Medicaid lines of business is a plus

COMPLETE JOB DESCRIPTION

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