Appeals Specialist
This position pays between $17.00 and $23.00 per hour and provides career-building experience in healthcare claims and appeals management. As an Appeals Specialist, you will be responsible for reviewing, analyzing, and resolving appeals related to insurance claims, focusing on cases that involve zero-balance situations. The role requires strong critical thinking, communication skills, and the ability to review documentation in detail to ensure compliance with regulations and company guidelines. You will collaborate with both internal teams and external stakeholders to resolve appeals in a fair, accurate, and timely manner. This role provides a foundation in compliance, claims management, and member advocacy, preparing candidates for advancement into supervisory roles or specialized appeals positions. It is ideal for individuals who enjoy structured problem-solving and want to play a meaningful role in ensuring fairness in healthcare claims.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa
Claims Care Advocate
This position pays between $15.77 and $23.65 per hour and offers opportunities to support patients and members by assisting with insurance claims and related inquiries. As a Claims Care Advocate, you will review claims, answer member questions, and provide accurate information while ensuring compliance with policies and guidelines. The role requires strong communication skills, patience, and organizational ability to manage multiple cases effectively. You will interact with members, providers, and internal departments to resolve concerns and support smooth claims processing. This role is well-suited for individuals who enjoy service-focused work and who are motivated to build careers in healthcare operations and claims management. It offers training, career development, and the opportunity to advance into more specialized or leadership positions in healthcare administration.
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All applicants must be authorized to work and live in the United States. Employer may not sponsor work visa