ap specialist

case manager

cw appeals specialist

Robert Half

<div>
 
 Appeals Specialist (Temporary Contract)
 
 
 
 Location:
 
 Remote
 
 
 
 Schedule:
 
 Full-Time | Monday&ndash;Friday | 8:00 AM &ndash; 4:30 PM
 
 
 
 Duration:
 
 Approximately 3 Months (through September 2026)
 
 
 
 Pay Rate:
 
 $21.50/hour
 
 
 Position Overview
 
 
 We are seeking detail-oriented and customer-focused Appeals Specialists to join a growing healthcare operations team. This fully remote opportunity is ideal for individuals with experience in healthcare administration, claims processing, customer service, or medical office support who enjoy research, problem-solving, and working in a fast-paced environment.
 
 
 In this role, you will support the review, intake, research, and processing of healthcare-related appeals and inquiries while ensuring accuracy, quality, and compliance with established guidelines. Successful candidates will possess strong organizational skills, the ability to manage multiple priorities, and a commitment to delivering high-quality work.
 
 
 Key Responsibilities
 
 <ul>
 <li>
 Review and research incoming correspondence, documentation, and requests to determine appropriate routing and handling
 </li>
 <li>
 Enter and maintain appeal cases and related information within internal systems
 </li>
 <li>
 Research and validate information using various databases, reference materials, and online resources
 </li>
 <li>
 Manage daily workload to meet established productivity, quality, and turnaround time expectations
 </li>
 <li>
 Accurately identify and triage expedited appeal requests
 </li>
 <li>
 Respond to internal inquiries via phone, email, and instant messaging as needed
 </li>
 <li>
 Process authorization-related requests and ensure appropriate documentation is obtained
 </li>
 <li>
 Assist with privacy-related activities and documentation requirements
 </li>
 <li>
 Support administrative functions including filing, scanning, printing, and document management
 </li>
 <li>
 Assist with scheduling activities and other operational support tasks as needed
 </li>
 <li>
 Collaborate with team members to achieve departmental goals and service standards
 </li>
 <li>
 Perform additional duties as assigned
 </li>
 </ul>
 
 
 
 
 Additional Information
 
 <ul>
 <li>
 Fully remote position
 </li>
 <li>
 Equipment provided
 </li>
 <li>
 Standard Monday&ndash;Friday schedule
 </li>
 <li>
 No overtime anticipated
 </li>
 <li>
 Opportunity to gain valuable experience within a large healthcare organization
 </li>
 <li>
 Collaborative and supportive team environment
 </li>
 </ul>
 
 If you enjoy research, problem-solving, and delivering high-quality work while supporting important healthcare operations, we encourage you to apply.
 
 
 
 Qualifications
 
 
 Required
 
 <ul>
 <li>
 High School Diploma or GED
 </li>
 <li>
 Minimum six months of experience in customer service, administrative support, healthcare operations, claims processing, or a related field
 </li>
 <li>
 Strong data entry and computer skills
 </li>
 <li>
 Experience working with multiple systems and databases simultaneously
 </li>
 <li>
 Ability to research information, analyze findings, and make appropriate decisions
 </li>
 <li>
 Excellent attention to detail and organizational skills
 </li>
 <li>
 Strong written and verbal communication abilities
 </li>
 <li>
 Ability to work independently in a remote environment
 </li>
 </ul>
 
 Preferred
 
 <ul>
 <li>
 Previous experience within the healthcare industry from either a payer or provider perspective
 </li>
 <li>
 Experience supporting appeals, claims, authorizations, benefits, or healthcare administration functions
 </li>
 <li>
 Familiarity with healthcare terminology and insurance processes
 </li>
 <li>
 Experience meeting productivity and quality performance metrics
 </li>
 </ul>
 
 Knowledge, Skills &amp; Abilities
 
 <ul>
 <li>
 Strong keyboarding and data entry accuracy
 </li>
 <li>
 Proficiency with Microsoft Office and Windows-based applications
 </li>
 <li>
 Ability to multitask and prioritize work effectively
 </li>
 <li>
 Strong problem-solving and critical thinking skills
 </li>
 <li>
 Ability to maintain confidentiality and handle sensitive information appropriately
 </li>
 <li>
 Excellent customer service and interpersonal communication skills
 </li>
 <li>
 Ability to adapt to changing priorities and business needs
 </li>
 <li>
 Strong commitment to quality, accuracy, and service excellence
 </li>
 </ul>
 
 
 
 
 TalentMatch
 
 &reg;
 
 
 
 
 Robert Half is the world&rsquo;s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
 
 
 
 
 Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more.
 
 
 
 
 All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
 
 
 
 
 &copy; 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking &ldquo;Apply Now,&rdquo; you&rsquo;re agreeing to Robert Half&rsquo;s Terms of Use and Privacy Notice.
 
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