Appeals Specialist
This remote role offers an estimated annual salary between $33,600 and $38,600 and includes the stability of full-time employment, opportunities for advancement, and a supportive virtual work environment. The Appeals Specialist is responsible for researching, reviewing, and processing appeals related to claims or coverage determinations. This position involves in-depth analysis of documentation, regulatory compliance checks, and preparation of written responses. Strong analytical thinking, attention to detail, and an understanding of claims processing or healthcare-related policies are essential to succeed in this role. Applicants must be able to communicate effectively in writing and verbally, maintain confidentiality, and manage caseloads within established timeframes. Key responsibilities include examining appeal requests, determining eligibility or need for further documentation, collaborating with internal teams, and ensuring accurate and timely resolution in accordance with company standards. This position is ideal for individuals with prior experience in healthcare administration, claims processing, or insurance appeals who are seeking a fully remote opportunity with meaningful responsibilities and a clear impact on client service.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Claims Resolution Specialist
This remote position offers an hourly pay range of $15.07 to $20.32, along with flexible scheduling, potential for long-term employment, and the chance to build a career in a fast-paced, detail-driven field. The Claims Resolution Specialist is responsible for investigating and resolving discrepancies in claims, working closely with internal systems and documentation to ensure accuracy and compliance. The role requires strong attention to detail, effective communication skills, and the ability to navigate complex information while maintaining a high level of accuracy. Primary duties include reviewing claims submissions, identifying errors or missing information, collaborating with team members or external contacts to resolve issues, and ensuring timely completion of tasks. Ideal candidates will have prior experience in claims processing, billing, or healthcare-related administrative work, although motivated individuals with strong data skills and a commitment to learning will also be considered. This position suits those looking for a dependable remote job that emphasizes analytical thinking, problem resolution, and process improvement within the claims cycle.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
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