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Appeals Support Specialist

Company: VirtualVocations
Location: San Angelo
Posted on: May 3, 2025

Job Description:

A company is looking for an Appeals Support Specialist to assist with administrative functions related to denials and appeals within the Utilization Review Team.
Key Responsibilities

Complete outbound calls to payers for status updates on retro authorization requests and appeal submissions
Track and confirm weekly status updates on all outstanding appeal cases until final resolution
Document final appeal outcomes and case details in the KIPU chart system and appeal spreadsheet

Required Qualifications

Associate's degree required or High School Diploma plus 5-7 years of appeals and grievance experience; Bachelor's degree preferred
Experience with insurance follow-up and/or appeals and grievances required
Familiarity with medical billing, provider relations, and/or healthcare office experience required
Strong Microsoft Office skills (Excel, Word, Outlook)
Ability to work Monday through Friday, 8:00am-4:30pm or 8:30am-5:00pm EST

Keywords: VirtualVocations, Abilene , Appeals Support Specialist, Other , San Angelo, Texas

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