Appeals Specialist

Job description

Job DetailsJob Location: Allied Benefit Systems - CHICAGO, IL 60606Position Type: Full TimeSalary Range: $20.00 - $21.00 HourlyJob Category: ClaimsPOSITION SUMMARY: The Appeals Specialist will be responsible for the organization and completion of all claim appeals received in the Appeal Department. ESSENTIAL FUNCTIONS: 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 EDUCATION: High School diploma or equivalent required EXPERIENCE AND SKILLS: 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 ab...