North Carolina Appeals Specialist

Job Summary

A company is looking for an Appeals Specialist II to support the documentation and processing of appeals, disputes, and reconsiderations.

Key Responsibilities

• Perform data entry to track, log, and process appeals, disputes, and reconsiderations in compliance with regulatory guidelines
• Prepare correspondence and maintain documentation files for appeals, disputes, and reconsiderations
• Review and investigate requests to determine necessary follow-up actions and gather data for trend reporting

Required Qualifications

• High School diploma or GED required
• 1 - 2 years of related experience preferred
• Knowledge of the appeals, disputes, and reconsiderations process is preferred
• Must reside in North Carolina