Virgin Pulse

Appeals Specialist


Pay$20.00 - $25.00 / hour
LocationRemote
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 3175
      Employer Industry: Health and Wellness Solutions

      Why Consider this Job Opportunity:
      - Salary up to $25.00 hourly
      - Opportunity for career advancement and growth within the organization
      - Health, dental, vision, mental health, and other benefits provided
      - Supportive and inclusive work environment
      - Chance to make a positive impact on health outcomes and employee engagement
      - Remote work opportunity

      What to Expect (Job Responsibilities):
      - Review all incoming documents to determine appropriate action required
      - Research and respond to internal appeals within regulatory timeframes
      - Maintain knowledge of government regulations related to appeals and claims payments
      - Draft response letters to members/patients or providers and file all documentation
      - Organize work and workflow to meet performance standards and client requirements

      What is Required (Qualifications):
      - High school diploma or general education degree (GED)
      - Basic Knowledge of provider billing preferred
      - Minimum one (1) year related experience and/or training; or equivalent combination of education and experience
      - Direct medical claims experience
      - Demonstrated self-motivation, organizational skills, and problem-solving skills

      How to Stand Out (Preferred Qualifications):
      - Strong written and oral communication skills with attention to detail and accuracy
      - Excellent research and investigative skills
      - Knowledge of Microsoft Office suite

      #HealthandWellness #CareerGrowth #RemoteWork #EmployeeBenefits #InclusiveEnvironment

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      See how Virgin Pulse's employee well-being solution helps employees create habits that matter so they can be their best at work and at home.

Notice

Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.

Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.

An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.