Healthcare Appeals Specialist - Remote

Healthcare Appeals Specialist (Remote - 4 Month Contract)

Pay: $21-$25/hr
Schedule: Must work East Coast business hours 8am to 5pm
Duration: 4-month contract

Job Overview

We are seeking a Healthcare Appeals Specialist to support the intake, review, and preparation of healthcare appeals and Independent Dispute Resolution (IDR) cases. This role ensures cases are processed accurately, documented properly, and completed within regulatory timelines.

Responsibilities

• Manage intake and tracking of appeals and IDR cases
• Review case documentation for accuracy and compliance
• Prepare appeal packets, summaries, and supporting documentation
• Monitor cases to ensure regulatory deadlines are met
• Maintain accurate records in case management systems
• Collaborate with internal teams to resolve cases

Qualifications

• Minimum of a High School Diploma or GED required. 
• 1-3 years of healthcare experience (appeals, claims, managed care, or healthcare operations)
• Strong attention to detail and ability to manage multiple cases
• This is a remote position; however, candidates must reside in one of the following states where the company is currently registered to employ staff:
• AL, FL, GA, IN, IA, KS, MS, NC, NE, NV, NH, NJ, NY, OK, SC, SD, TN, TX, VA, WV, or WY.

Preferred

• Experience with OnBase, TruCare, Hyland, or SharePoint