North Carolina Appeals Specialist

A company is looking for an Appeals Specialist (Remote NC). Key Responsibilities Prepare and manage member and recipient correspondence related to denials and appeals Coordinate and support peer review processes and maintain appeal files Respond to inquiries from staff, providers, and community members regarding clinical denials and appeals Required Qualifications, Training, and Education High School diploma or GED required; Associate or Bachelor's degree in Business Management or Certification in Allied Health preferred 2-5 years of clerical and administrative support experience in allied health and/or behavioral health settings Proficient in Microsoft Office suite, including Word, Excel, and Teams Ability to multitask and prioritize competing deliverables Must reside in North Carolina or within 40 miles of the North Carolina border

Apr 25, 2025 - 22:42

A company is looking for an Appeals Specialist (Remote NC). Key Responsibilities Prepare and manage member and recipient correspondence related to denials and appeals Coordinate and support peer review processes and maintain appeal files Respond to inquiries from staff, providers, and community members regarding clinical denials and appeals Required Qualifications, Training, and Education High School diploma or GED required; Associate or Bachelor's degree in Business Management or Certification in Allied Health preferred 2-5 years of clerical and administrative support experience in allied health and/or behavioral health settings Proficient in Microsoft Office suite, including Word, Excel, and Teams Ability to multitask and prioritize competing deliverables Must reside in North Carolina or within 40 miles of the North Carolina border