Appeals Specialist

Unified Group ServicesAnderson, IN
1dOnsite

About The Position

Are you ready to turn your attention to detail into a rewarding career? Unified Group Services in Anderson, IN is seeking a full-time Appeals Specialist to join our dedicated team. If you're passionate about problem-solving, communication, and making a meaningful impact in healthcare administration, this is your opportunity. Apply today and become part of something bigger. At Unified Group Services, we believe in taking care of our team just as well as we take care of our customers. As our Appeals Specialist, you'll earn a competitive hourly wage with overtime opportunities. At Unified Group Services, we take care of the customer, and then some! Unified began in Mechanicsburg, Indiana, where it stayed for a short time before moving to Pendleton, Indiana. Then, in February 2004, we settled in at our current location in Anderson, Indiana, where we continue to grow. We serve as a full-service third-party administrator (TPA) for self-funded group health insurance plans. Our mission is centered on you-whether you're a customer or a team member-because we believe that great service starts with a great culture. We empower our customers with innovative programs, cutting-edge technology, and trusted partnerships that help control healthcare costs while ensuring access to top-tier benefits. Every service we deliver is backed by a professional, experienced team that provides personal attention with speed and care. We don't just talk about our values-we live them, training every employee to uphold the principles that have guided us from the beginning. If you're looking to join a company where your work truly makes a difference, Unified Group Services is the place to be. This is a full-time position, working Monday through Friday, 8:00 AM to 5:00 PM, with overtime available. As our Appeals Specialist, you'll focus on benefit determinations, Usual & Customary reductions, and eligibility issues. You'll work with internal and external teams, draft response letters, and maintain communication with providers and members. Your role will ensure appeals are handled accurately and promptly, making a positive impact on our customers' lives.

Requirements

  • Proficient in Microsoft Word, Excel, and Outlook
  • Excellent organizational skills and strong attention to detail
  • Strong writing, grammar, punctuation, and sentence structure skills
  • Effective problem-solving and decision-making skills

Nice To Haves

  • At least one year of medical terminology or medical billing/coding experience is a plus.

Responsibilities

  • focus on benefit determinations
  • Usual & Customary reductions
  • eligibility issues
  • work with internal and external teams
  • draft response letters
  • maintain communication with providers and members
  • ensure appeals are handled accurately and promptly

Benefits

  • Dental and vision
  • Health insurance
  • 401(k) with company match
  • Education assistance
  • Employee assistance program
  • PTO
  • Growth opportunities
  • HSA/FSA
  • Life insurance
  • Short- and long-term disability
  • Wellness programs
  • Sponsored health clinic
  • Company parties
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