Appeals Specialist I

Job Summary

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

Key Responsibilities

• Analyze and prioritize appeals and grievance correspondence, determining next steps for processing
• Utilize technology to manage appeal and grievance data entry and coordinate file management activities
• Assist supervisors and team members with 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 member/provider services or claims is a plus