Appeals Specialist

Allied Benefit Systems • Chicago, IL

1d • $20 - $21 • Remote

About The Position

The Appeals Specialist will be responsible for the organization and completion of all claim appeals received in the Appeal Department.

Requirements

• High School diploma or equivalent required
• 3 years or more of comprehensive experience with the billing of or otherwise handling of medical, dental and vision claims required.
• Applicant should be proficient in the use of the Excel and Word programs
• Experience with or ability to learn Microsoft Access
• Be able to communicate effectively both orally and by email
• Applicant must have the ability to analyze claim situations, take appropriate actions and be great with communication and documentation.
• Applicant must have a history of excellent quality results and the desire to take on a new challenge if currently employed at Allied.

Responsibilities

• Reviewing appeal and supporting documentation
• Reviewing Summary Plan Documents to determine validity of appeal
• Composing appeal response letters when necessary
• Communicating with other departments and clients when necessary
• Documenting the QicLink system and database with appeal status and outcome
• Emailing claims examiners and other units when necessary
• Prioritize incoming referrals to complete all tasks timely
• Performs other related duties as assigned

Benefits

• Medical
• Dental
• Vision
• Life & Disability Insurance
• Generous Paid Time Off
• Tuition Reimbursement
• EAP
• Technology Stipend

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees