North Carolina Appeals Specialist

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 compliance with regulatory guidelines

Prepare correspondence and maintain documentation files for appeals, disputes, and reconsiderations

Review and investigate requests to determine necessary follow-up actions and gather data for trend reporting

Required Qualifications

High School diploma or GED required

1 - 2 years of related experience preferred

Knowledge of the appeals, disputes, and reconsiderations process is preferred

Must reside in North Carolina