Appeals Support Representative

Job Summary

A company is looking for an Appeals Support Representative.

Key Responsibilities

• Complete outbound calls to payers for status updates on retro authorization requests and appeal submissions
• Track and confirm weekly status updates on all outstanding appeal cases until final resolution
• Document final appeal outcomes and case details in the KIPU chart system and appeal spreadsheet

Required Qualifications

• Associate's degree required or High School Diploma plus 5-7 years of appeals and grievance experience; Bachelor's degree preferred
• Experience with insurance follow-up and/or appeals and grievances required
• Familiarity with medical billing, provider relations, and/or healthcare office experience required
• Strong Microsoft Office skills (Excel, Word, Outlook)
• Ability to work Monday through Friday, 8:00am-4:30pm or 8:30am-5:00pm EST