Remote Appeals Specialist

Job Summary

Researching and responding to inquiries from various stakeholders, the full-time Remote Appeals Specialist will provide customer service, interpret requests, and conduct research to resolve appeals and disputes effectively.

Key responsibilities

• Provides timely and accurate customer service by responding to inquiries received through various communication channels
• Interprets requests to determine appropriate responses or actions for resolution
• Conducts research using federal regulations and contract policies to support decision-making and logging of inquiries into the database

Required qualifications

• High School Diploma or equivalent
• Three years of general office experience, with potential substitution for education in administration or related fields
• One year of experience in Medicare Qualified Independent Contractor appeals or professional business writing in healthcare, customer service, or legal industries
• Preferred experience in Managed Care
• Residency in the United States for at least three of the last five years