Appeals Specialist

Allied Benefit Systems • Chicago, IL

1d • $20 - $21 • Remote

About The Position

The Appeals Specialist will be responsible for the organization and completion of all claim appeals received in the Appeal Department. Allied believes that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

Requirements

• High School diploma or equivalent required
• 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 ability to analyze claim situations, take appropriate actions and be great with communication and documentation
• Applicant must have a history of excellent quality results

Responsibilities

• 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
• Other related duties as assigned

Benefits

• Medical
• Dental
• Vision
• Life and Disability Insurance
• Generous Paid Time Off
• Tuition Reimbursement
• EAP
• Technology Stipend

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED