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Appeals Specialist

https://www.roberthalf.com Logo

Robert Half

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Location:
United States , Lynnwood

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Category:
Customer Service

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

We are looking for an experienced Appeals Specialist to join our team on a contract basis. In this role, you will play a critical part in reviewing and processing appeals, ensuring high standards of accuracy and efficiency. This is a remote position based in Washington State, with no onsite training or meeting requirements, except for equipment pickup if local.

Job Responsibility:

  • Review and analyze incoming mail and faxes to route them to the appropriate recipient
  • Conduct thorough research using reference materials, online tools, and proprietary systems
  • Enter and manage new cases in the system, ensuring all production goals are consistently met
  • Accurately identify and prioritize expedited appeal requests for timely processing
  • Respond to appeals that require claimant authorization, adhering to all privacy guidelines
  • Validate and handle privacy-related tasks, including processing authorizations and managing confidential documents
  • Assist with office supply orders and scheduling appeal panels as needed
  • Help the department meet quality and productivity standards through teamwork and individual contributions
  • Perform additional tasks as assigned to support overall team goals

Requirements:

  • Experience in claims processing or healthcare patient services/customer service is preferred
  • Familiarity with healthcare industry platforms
  • Strong proficiency in data entry
  • Demonstrated ability to work effectively in a Windows-based PC environment
  • Excellent multitasking and organizational skills to manage workloads efficiently
  • Strong attention to detail with a focus on meeting productivity and quality benchmarks
What we offer:
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
April 11, 2026

Work Type:
Remote work
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