Oregon Licensed Healthcare Appeals Specialist

Job Summary

A company is looking for a Healthcare Appeals Specialist (Remote).

Key Responsibilities

• Analyze, investigate, and resolve provider billing disputes and appeals
• Review claims, coding, contracts, and regulatory guidelines to develop appeal recommendations
• Coordinate with cross-functional teams to ensure accurate and timely decisions

Required Qualifications

• Minimum 4+ years of experience in healthcare claims or related fields
• Strong knowledge of medical terminology and coding, with certification preferred
• Proven analytical skills to research complex issues
• Proficiency with Microsoft Office tools and healthcare systems