Healthcare Appeals Specialist – Investigations & Resolutions

A national employee benefits provider is seeking an Appeal Specialist to investigate and resolve administrative and clinical appeals in line with regulatory requirements. The role involves collaboration with clients and internal departments, managing workflows, and ensuring compliance with guidelines. Candidates should have at least a High School Diploma, with a Bachelor's degree preferred, along with relevant healthcare operations experience. The competitive salary ranges from $38,200 to $51,600, with opportunities for performance-based incentives. #J-18808-Ljbffr