Appeals Specialist

Job Summary

A company is looking for an Appeals Specialist to manage and resolve appeals through various communication channels.

Key Responsibilities:

• Manage the appeal process from initiation to resolution, including reviewing and investigating appeals
• Communicate effectively with members, providers, and clients regarding appeal statuses and resolutions
• Document all necessary information throughout the appeal process using appropriate templates and tools

Required Qualifications:

• High School Diploma / GED or equivalent work experience
• Must be 18 years of age or older
• 2+ years of experience in Call Center Customer Service
• Ability to work full-time (40 hours/week) during normal business hours