Claims Appeals Specialist

Job Summary

A company is looking for an Appeals and Denials Claims Specialist to work in a remote-based role.

Key Responsibilities

• Review and research insurance claims to determine payment sources
• Coordinate with payors to ensure accurate claim filing and follow up on unresolved claims
• Assist in submitting appeals for denied claims and interact with hospital staff for documentation

Required Qualifications

• High School Diploma or GED; some college coursework preferred
• 1-2 years of related experience in the healthcare field preferred
• Proficient in data entry, word processing, and MS Office applications
• Ability to organize and set priorities according to demands
• Home internet connection meeting company criteria for remote work