Appeals Specialist

Wollborg Michelson Recruiting; Little Rock (AR); On-site; USD 42,000 - 64,000; Full time

Job summary

Wollborg Michelson Recruiting is seeking a detail-oriented professional to support the coordination of legal appeals and complaints. The role involves preparing reports, researching, gathering documentation, and handling inquiries for professional staff.

Responsibilities include processing medical claims and denials, coordinating appeal activities, and maintaining accurate, confidential records while communicating with providers and internal teams.

Qualifications

• High school diploma or equivalent is required.
• At least three years of experience in claims processing, claims research, or customer service.
• Familiarity with CPT and ICD-10 coding.
• Knowledge of medical terminology; healthcare experience is preferred.
• Strong verbal and written communication skills.

Responsibilities

• Process and research medical claims, appeals, and complaints.
• Conduct intake and gather claims related to denials.
• Collect, review, and organize supporting documentation.
• Prepare reports and coordinate appeal-related activities.
• Respond to inquiries regarding appeal status.
• Communicate professionally with providers and internal staff.
• Maintain confidentiality and ensure accurate records.

Skills

Microsoft Office Suite

Medical claims processing

Research and document management

Professional phone communication

Interpersonal communication

Multitasking and organization

Attention to detail

Problem-solving

Professional judgment

Confidentiality

Education

High school diploma or equivalent

Job description

Job Summary

Supports the organization and coordination of legal appeals and complaints by preparing reports, conducting research, gathering documents, handling inquiries, and coordinating activities for professional staff.

Responsibilities

• Process and research medical claims, appeals, and complaints.
• Conduct intake and gather claims related to denials.
• Collect, review, and organize supporting documentation.
• Prepare reports and coordinate appeal-related activities.
• Respond to inquiries regarding appeal status.
• Communicate professionally with providers and internal staff.
• Maintain confidentiality and ensure accurate records.

Requirements

• High school diploma or equivalent.
• At least three years of experience in claims processing, claims research, or customer service.
• Familiarity with CPT and ICD-10 coding.
• Knowledge of medical terminology; healthcare experience is preferred.
• Strong verbal and written communication skills.

Skills

• Microsoft Office Suite
• Medical claims processing
• Research and document management
• Professional phone communication
• Interpersonal communication
• Multitasking and organization
• Attention to detail
• Problem-solving
• Professional judgment
• Confidentiality

Qualification

Organized and detail-oriented with the ability to manage multiple tasks accurately. Strong communication and customer service skills. Comfortable working with claims, coding, medical terminology, and appeal documentation. Open to candidates with relevant healthcare, claims, research, or customer service experience.

Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status.