CrawlJobs Logo

Appeal Operations Specialist

United States, Denver 27.55 - 55.05 USD / Hour · Job Posted January 26, 2026
Apply Position
Job Link Share

Job Description

We are looking for an Appeals Analyst to support the continued growth of our Cash App Global Appeals program. Our mission is to make banking and financial services more accessible to the underserved and unbanked by conducting complex, holistic reviews of customer relationships to determine if potential prohibited activity and/or risk that was previously identified is authentically sourced to our customer or if there is an opportunity for reinstatement.

Job Responsibility

  • Verify customer information and conduct enhanced due diligence reviews as part of Block’s policies
  • Stay abreast of regulatory updates and/or new requirements and understand overall impact to day to day work
  • Contribute to projects optimizing the regulatory program and operation team's processes
  • Work in collaboration with Support, Risk, and other operations teams within Block

Requirements

  • 3+ years experience in BSA/AML or Fraud related work, preferably in the payments space
  • Strong investigative skills, including familiarity with public record research and database tools
  • Demonstrated transaction analysis skills that apply across numerous financial products in complex scenarios
  • Ability to present and communicate findings via written and verbal communication to team members and team leads

Nice to have

  • Proven working experience with high-risk activity, particularly related to OCSE/CSAM
  • Relevant industry certifications (CAMS, CFE, CFCS)

What we offer

  • Remote work
  • medical insurance
  • flexible time off
  • retirement savings plans
  • modern family planning

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Similar Jobs for

Appeal Operations Specialist

8 matching positions

Operations Specialist

The Operations Specialist will be responsible for managing key operational funct...
Location
Location
United Kingdom , Gretna
Salary
Salary:
Not provided
usa.tommy.com Logo
Tommy Hilfiger
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Proven experience in retail operations, stockroom management, cashier roles, or similar positions.
  • Strong organizational skills and attention to detail.
  • Ability to work efficiently in a fast-paced environment, meeting deadlines while maintaining high standards.
  • Strong communication skills and a collaborative attitude toward teamwork.
  • Knowledge of POS systems and cash handling procedures (if applying for a cashier role).
  • Ability to handle product management and ensure quality standards are met (if applying for a stockroom role).
  • Flexibility to adapt to both stockroom and cashier duties as required.
  • Problem-solving skills with the ability to adapt to changing priorities.
Job Responsibility
Job Responsibility
  • Customer Service (Cashier Focus): Efficiently process customer transactions, handle cash, card payments, and returns, ensuring a seamless and positive checkout experience.
  • Product Availability: Ensure the sales floor is fully stocked with products, maintaining high levels of availability for customers and promoting a premium shopping experience.
  • Store Presentation: Ensure that all areas of the store, including cashier and stockroom spaces, are clean, organized, and visually appealing, aligning with the brand’s standards.
  • Loss Prevention: Support loss prevention efforts by adhering to protocols and safeguarding against stock loss during transactions and in the stockroom.
  • Product Handling: Maintain a strong understanding of the store's product offerings, ensuring items are stored or presented appropriately, whether in the stockroom or on the sales floor.
  • Stock Replenishment: Ensure stock is regularly replenished to meet customer demand and maintain a fully stocked sales floor, whether handling the restocking process or providing support at checkout.
  • SKU Accuracy: Maintain accuracy in product identification, including stockroom entries and at the POS system to ensure no discrepancies.
  • Product Care: Handle products with care to ensure they remain in pristine condition, reflecting the quality and luxury standards of the brand.
  • Inventory Control & Management (Stockroom Focus): Manage inventory levels, conduct regular stock audits, and ensure all stock is accurately recorded and stored.
  • Goods Receipt (Stockroom Focus): Efficiently process incoming goods, ensuring quick turnaround times and proper storage of items.
  • Parttime
Read More
Arrow Right

Operations Specialist

The Operations Specialist will be responsible for managing key operational funct...
Location
Location
United Kingdom , Gretna
Salary
Salary:
Not provided
calvinklein.us Logo
Calvin Klein
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Proven experience in retail operations, stockroom management, cashier roles, or similar positions
  • Strong organizational skills and attention to detail
  • Ability to work efficiently in a fast-paced environment, meeting deadlines while maintaining high standards
  • Strong communication skills and a collaborative attitude toward teamwork
  • Knowledge of POS systems and cash handling procedures (if applying for a cashier role)
  • Ability to handle product management and ensure quality standards are met (if applying for a stockroom role)
  • Flexibility to adapt to both stockroom and cashier duties as required
  • Problem-solving skills with the ability to adapt to changing priorities
Job Responsibility
Job Responsibility
  • Customer Service (Cashier Focus): Efficiently process customer transactions, handle cash, card payments, and returns, ensuring a seamless and positive checkout experience. Handles customer complaints professionally with a positive resolution for the business and customer.
  • Product Availability: Ensure the sales floor is fully stocked with products, maintaining high levels of availability for customers and promoting a premium shopping experience.
  • Store Presentation: Ensure that all areas of the store, including cashier and stockroom spaces, are clean, organized, and visually appealing, aligning with the brand’s standards.
  • Loss Prevention: Support loss prevention efforts by adhering to protocols and safeguarding against stock loss during transactions and in the stockroom.
  • Product Handling: Maintain a strong understanding of the store's product offerings, ensuring items are stored or presented appropriately, whether in the stockroom or on the sales floor.
  • Stock Replenishment: Ensure stock is regularly replenished to meet customer demand and maintain a fully stocked sales floor, whether handling the restocking process or providing support at checkout.
  • SKU Accuracy: Maintain accuracy in product identification, including stockroom entries and at the POS system to ensure no discrepancies.
  • Product Care: Handle products with care to ensure they remain in pristine condition, reflecting the quality and luxury standards of the brand.
  • Inventory Control & Management (Stockroom Focus): Manage inventory levels, conduct regular stock audits, and ensure all stock is accurately recorded and stored.
  • Goods Receipt (Stockroom Focus): Efficiently process incoming goods, ensuring quick turnaround times and proper storage of items.
  • Parttime
Read More
Arrow Right

Onboarding Operations Specialist

Twilio is seeking an Onboarding Operations Specialist (L1) to join our global On...
Location
Location
Colombia
Salary
Salary:
Not provided
stytch.com Logo
Stytch
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Ability to work effectively in a remote environment, demonstrating strong time management, self-discipline, and communication skills
  • Availability to work Monday-Friday, 8:00 AM – 5:00 PM CT or 9:00 AM – 6:00 PM CT
  • 1-2 years of experience in an operations and customer facing role, with exposure to cross-functional collaboration
  • Strong ability to prioritize tasks, manage workloads efficiently, and meet SLAs
  • Excellent verbal and written communication skills, with strong attention to detail in document review and risk assessment
  • A customer-centric mindset, with a commitment to delivering high-quality support and ensuring a seamless experience
  • Problem-solving mindset, with the ability to assess situations, think critically, and make sound decisions
  • Quick adaptability to new systems, workflows, and evolving business needs
  • A collaborative team mindset, with the ability to work both independently and cross-functionally
  • Self-motivated, receptive to feedback, and committed to continuous improvement
Job Responsibility
Job Responsibility
  • Review verification submissions for compliance, conduct KYC checks, verify brand legitimacy, and analyze digital footprints to prevent fraud
  • Perform QA on AI-generated decisions and agent-resolved submissions to ensure accuracy, consistency, and compliance with verification standards
  • Analyze verification processes and appeals to detect patterns, optimize workflows, and mitigate risks
  • Handle escalations for complex verification cases, working with internal teams to resolve issues efficiently
  • Collaborate with internal teams to streamline onboarding, improve compliance enforcement, and align on best practices
  • Maintain process documentation, contribute to best practices, and support team efficiency
  • Support a positive, high-performing team culture by sharing insights and collaborating with colleagues
  • Wear the Customer’s Shoes – Provide prompt, high-quality support via email, Slack, and ServiceNow
  • Draw the Owl – Investigate verification issues, assess inefficiencies, and develop solutions to improve workflows
  • Ruthlessly Prioritize – Manage high-volume inquiries, meet SLAs, and effectively balance multiple priorities
What we offer
What we offer
  • competitive pay
  • generous time off
  • ample parental and wellness leave
  • healthcare
  • a retirement savings program
  • Fulltime
Read More
Arrow Right

Account Operations Specialist

Wilson Sonsini is seeking an enthusiastic and energic Account Operations Special...
Location
Location
United States , Palo Alto; San Francisco; San Diego; Century City; Los Angeles
Salary
Salary:
32.28 - 48.65 USD / Hour
wsgr.com Logo
Wilson, Sonsini, Goodrich & Rosati
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree preferred
  • Experience with Aderant Expert Billing, Entity Manager and BillBlast required
  • 2+ years of extensive experience with billing, collections and e-billing functions of a law firm required
  • Knowledge of firm and client billing policies and procedures
  • Advanced knowledge of Microsoft Excel
  • Strong service-oriented skills including excellent interpersonal and communication skills
  • Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
  • Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices
Job Responsibility
Job Responsibility
  • Maintain rejections and pending invoices under a set threshold
  • Assist with monthly departmental collections targets by monitoring invoice validations, approvals, reductions, and rejections of e-bills to ensure full timely payment
  • Adhere to client deadlines for invoicing, accruals and budgets
  • Manage onboarding for assigned clients migrating to e-billing or switching e-billing vendor sites
  • Update e-billing data in Aderant and BillBlast systems, as needed
  • Oversee timekeeper rate submissions and new matter setups for assigned e-bill clients
  • Implement enhancements and troubleshoot e-billing issues
  • Review outside counsel guidelines and update BillBlast and Aderant to ensure compliance
  • Assist Account Managers with e-bill reports, training, and other e-billing related issues
  • Collaborate with Account Managers to submit appeals
What we offer
What we offer
  • Highly competitive salary and benefits package
  • Discretionary year-end merit bonus based on performance
  • Fulltime
Read More
Arrow Right

Operations Compliance Specialist

Reporting to the Senior Manager of Regulatory and Business Operations, the Opera...
Location
Location
Salary
Salary:
Not provided
springhealth.com Logo
Spring Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree or equivalent experience
  • 4+ years of cross functional experience in a high growth startup and or healthcare systems
  • Exceptional written, verbal, and listening communication skills
  • A working understanding of grievance and appeals regulations and how they are applied in practice
  • Proven ability to build effective relationships across teams as a self starter
  • Ability to manage multiple priorities and perform well under pressure
  • Strong analytical, organizational, and attention to detail skills
  • Demonstrated ability to contribute innovative solutions to complex problems with input from multiple stakeholders
  • A member > team > individual mindset
  • A collaborative, humble approach with a sense of levity and fulfillment from shared success
Job Responsibility
Job Responsibility
  • Support internal and external audits by helping coordinate documentation, timelines, and follow up items
  • Own day to day execution of assigned audit and monitoring workstreams within established processes, including documentation, tracking, prioritization, and issue escalation
  • Collaborate with cross functional partners to gather information and support compliance reviews
  • Maintain organized, audit ready records for assigned activities, observations, and follow up actions, ensuring accuracy and completeness prior to senior review
  • Monitor daily, weekly, and monthly quality and oversight reports to ensure regulatory and internal deadlines are met, evaluate trends and risks, and determine when escalation is required
  • Identify process gaps and share observations and recommendations with senior team members to support quality, regulatory, and operational improvements
  • Other duties as assigned
What we offer
What we offer
  • Health, Dental, Vision benefits start on your first day
  • Access to One Medical accounts
  • HSA and FSA plans available with Spring contributing up to $1K for HSAs
  • Employer sponsored 401(k) match of up to 2%
  • Yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents
  • Competitive paid time off policies including vacation, sick leave and company holidays
  • Parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents at 6 months tenure
  • Access to Noom, a weight management program
  • Access to fertility care support through Carrot, plus $4,000 reimbursement for related fertility expenses
  • Access to Wellhub for fitness, mindfulness, nutrition, and sleep
  • Fulltime
Read More
Arrow Right

Medical Billing Specialist

Location
Location
United States , Worcester
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Experience in medical billing within a healthcare, hospital, or social assistance setting
  • Working knowledge of medical coding principles and claim submission processes
  • Proven ability to handle accounts receivable follow-up, collections, and denial resolution
  • Familiarity with medical claims review, correction, and appeals procedures
  • Hands-on experience using EPACES or similar payer and billing systems
  • Strong attention to detail with the ability to manage multiple priorities accurately
  • Effective written and verbal communication skills for interacting with payers and internal teams
Job Responsibility
Job Responsibility
  • Manage billing activity for medical claims, ensuring charges are processed accurately and submitted within required timelines
  • Monitor accounts receivable balances and follow up on unpaid or underpaid claims to support prompt reimbursement
  • Investigate denied claims, determine root causes, and prepare corrected submissions or formal appeals as needed
  • Perform collection efforts on outstanding balances while maintaining clear communication with payers and relevant parties
  • Review coding and claim details for completeness and accuracy before resubmission or escalation
  • Use EPACES and related billing tools to verify claim status, eligibility, and payment information
  • Assist with reporting, documentation, and special projects related to billing operations and revenue cycle performance
What we offer
What we offer
  • Medical insurance
  • Vision insurance
  • Dental insurance
  • Life insurance
  • Disability insurance
  • 401(k) plan
  • Fulltime
Read More
Arrow Right

Medical Biller/Collections Specialist

We are looking for a detail-oriented Medical Biller/Collections Specialist to su...
Location
Location
United States , Old Bethpage
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Experience in medical billing and collections within a healthcare setting
  • Working knowledge of claim denial research, appeals processing, and payment follow-up
  • Familiarity with hospital or behavioral health billing practices and related documentation requirements
  • Ability to review coding and billing details for accuracy and identify issues that may delay reimbursement
  • Strong written and verbal communication skills for interacting with internal teams, payers, and responsible parties
  • Proficiency in documenting account activity, claim status updates, and payer conversations with accuracy
  • Organized approach to managing deadlines, aging accounts, and multiple follow-up activities simultaneously
Job Responsibility
Job Responsibility
  • Track benefit eligibility for individuals in behavioral health programs and notify operational teams when recertification deadlines are approaching within the required timeframe
  • Coordinate with program staff to monitor recertification progress and help ensure renewals are completed in accordance with behavioral health regulations
  • Review billing documentation for accuracy and completeness before claim submission, and address missing or inconsistent information promptly
  • Provide guidance to operational teams on appropriate coding and billing practices to support clean claim submission
  • Analyze aging reports and take action to improve collection timeliness on outstanding accounts
  • Contact responsible parties regarding overdue balances, document unresolved matters, and escalate complex issues to the Billing Manager for further review
  • Investigate unpaid, denied, or partially reimbursed claims by examining supporting records and payer correspondence to determine next steps
  • Prepare and submit appeals for denied or underpaid claims, maintain detailed records of all payer communications, and follow through until resolution is reached
  • Alert the Billing Manager to payment barriers caused by billing errors, coding issues, or inaccurate patient information, and assist with special projects or general office support as needed
  • Ensure all paper and electronic records are processed accurately, completed on time, and aligned with quality and compliance expectations
What we offer
What we offer
  • Medical, vision, dental, and life and disability insurance
  • 401(k) plan
Read More
Arrow Right

Custodial Specialist

Sparkle and shine as part of a cohesive cleaning team that provides services to ...
Location
Location
United States , Manhattan
Salary
Salary:
15.00 USD / Hour
k-state.edu Logo
Kansas State University
Expiration Date
July 17, 2026
Flip Icon
Requirements
Requirements
  • No minimum requirements
  • Various training and/or certification may be required
  • Some experience in cleaning or housekeeping
  • Ability to understand and follow oral and written instructions
  • Ability to learn the operation and care of vacuum cleaners, scrubbing machines, polishing machines and other janitorial equipment
  • Ability to work harmoniously and effectively with others and to communicate effectively both orally and in writing
  • Ability to perform very basic repair/maintenance tasks
  • Bloodborne Pathogens training to be completed upon employment
  • Work requires sufficient strength to stand the strain of working long hours at custodial tasks and repetitive stooping, lifting, bending, twisting, reaching and climbing
  • Candidates must be legally authorized to work in the U.S. on an ongoing basis without sponsorship
Job Responsibility
Job Responsibility
  • Be part of a cleaning team that provides services to K-State residence halls and other Housing and Dining Services facilities
  • Ensure facilities are clean, sanitized, tidy, safe, and appealing for residents, faculty, staff and guests
  • Performs a variety of cleaning and minor repair tasks including trash removal
  • vacuuming
  • dusting
  • mopping
  • washing and disinfecting surfaces and fixtures
  • cleaning and sanitizing restrooms
  • Provides hotel type housekeeping services for conference groups and other guests
  • Completes other duties as assigned
What we offer
What we offer
  • Health and life insurance
  • Retirement plans
  • Generous paid time off
  • Fulltime
Read More
Arrow Right