Let’s get started
Company Logo

Remote Jobs

Appeals Specialist I

7/31/2025

No location specified

Job Summary

A company is looking for an Appeals Specialist I (remote).

Key Responsibilities
  • Prioritize, research, and analyze information for appeals and grievances, ensuring accurate data entry and case assignment
  • Assist in responding to appeals in compliance with State and Federal regulations while maintaining confidentiality
  • Support unit projects and provide feedback for workflow improvements during monthly meetings
Required Qualifications
  • High School Diploma or GED
  • 3 years of experience in managed care, health care, or insurance payor environments
  • Previous experience in an appeals and grievance department is preferred
  • Knowledge of medical terminology
  • Strong organizational and analytical skills

Comments

No comments yet. Be the first to comment!