Appeals Specialist - job 1 of 5

Job Summary

A company is looking for an Appeals Specialist II to support the documentation and processing of appeals, disputes, and reconsiderations.

Key Responsibilities

• Perform data entry to track, log, and process appeals, disputes, and reconsiderations in line with regulatory guidelines
• Prepare correspondence and maintain documentation files for appeals, disputes, and reconsiderations
• Review and investigate requests to determine necessary follow-up and prepare case files with supporting documentation

Required Qualifications

• High School diploma or GED required
• 1 - 2 years of related experience preferred
• Knowledge of appeals, disputes, and reconsiderations processes is preferred
• Background in roles involving direct patient care or health services is beneficial