Appeals Specialist – Healthcare
Xploy Solutions · Santo Domingo de Guzmán
Job description
About the role
The Appeals Specialist manages individual client cases through the appeals process, ensuring high‑quality submissions and timely follow‑ups to achieve positive outcomes for clients.
Key responsibilities
- Process assigned client appeal cases, meeting defined turn‑around times and quality standards.
- Maintain accurate, up‑to‑date data in Guided Care software and participate in workflow improvements.
- Communicate promptly with colleagues and leadership, attend training and meetings, and uphold company principles.
Required profile
- 3+ years of experience in a healthcare environment.
- Independent, detail‑oriented professional with strong research, organizational and time‑management skills.
- Ability to maintain confidentiality and communicate clearly.
Required skills
- Proficiency with Microsoft Office.
- Experience using Guided Care software for case management.
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Published 7 hours ago
Expires 1 month from now
7 views · 0 interested
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Xploy Solutions
Santo Domingo de Guzmán