Appeals Representative

Job Summary

A company is looking for an Appeals Representative (Remote).

Key Responsibilities

• Prepares and reviews provider and member appeals/grievances for Review Committees
• Researches issues and documents appeals in relevant systems
• Attends meetings and participates in miscellaneous projects as needed

Required Qualifications

• High School diploma or GED required
• Minimum two years of customer service experience, preferably in managed care or health care
• Proficient in computer programs such as Word and Excel