Appeals Specialist (PBN)

Job description

**Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.** *This position is located Remote United States* Position Purpose: Researches and responds to inquiries from providers, suppliers, beneficiaries, health plans, or others involved in the appeals/dispute process. May conduct phone calls with appellants for the purpose of scheduling phone discussions with the company decision maker. Essential Responsibilities: - Provides customer service and researches and responds to inquiries received by phone, fax, mail, or email timely and accurately. - Interprets requests and determines appropriate response or course of action to bring to resolution with minimal assistance. - Conducts research using online federal regulations, reviews contract policy and guidelines to complete an accurate and well-supported decision and/or response. -...