Member Appeals Specialist

Job Summary

A company is looking for a Member Appeals Specialist for a contract position.

Key Responsibilities

• Manage a caseload of member appeals from start to finish using a system of record
• Respond to emails promptly while maintaining proper email etiquette
• Utilize reference materials to ensure consistency and compliance in the appeal process

Required Qualifications

• At least 1 year of recent experience as a Member Appeals Specialist
• Experience specifically with member appeals (provider claim appeals experience is a plus)
• Ability to work in a 100% virtual setting and engage with team members effectively
• Reliability and a strong focus on detail in managing appeals
• Enthusiasm for learning and adapting to new processes and materials