Appeals Representative

A company is looking for an Appeals Representative to handle provider appeals and related tasks.

Key Responsibilities

Classify, research, and understand providers' intent to appeal decisions

Status providers as participating or non-participating and route appeals accordingly

Identify and obtain additional information needed to assess provider intent

Required Qualifications

High School Diploma / GED or equivalent work experience

Must be 18 years of age or older

1+ years of experience in analyzing and solving customer problems or related work experience

Proficiency with computer and Windows PC applications

Ability to work full-time (40 hours / week) with flexibility during normal business hours