Reimbursement, Medical Claims, Appeal Writing Specialist (Remote)

Kentucky Bar Association; United States; Remote; USD 50,000 - 70,000; Full time

Job summary

Castle Biosciences Inc. is seeking a remote Reimbursement, Medical Claims, Appeal Writing Specialist to draft appeal letters and manage disputes in medical claims. The ideal candidate requires strong writing skills, relevant experience, and a commitment to persuasive communication. Exceptional benefits include a competitive salary, bonus potential, and generous PTO.

Benefits

20 Accrued PTO Days Annually

10 Paid Holidays

401K with 100% Company Match up to 6%

3 Health Care Plan Options + Company HSA Contribution

Company Stock Grant Upon Hire

Qualifications

• Minimum of two years' experience in healthcare insurance appeals.
• Experience working with internal and external stakeholders.
• Ability to navigate health insurance appeal processes.

Responsibilities

• Create appeal letters disputing claim denials.
• Edit letters written by others and manage document templates.
• Review medical records against coverage guidelines.

Skills

Persuasive writing

Typing speed

Education

Paralegal, B.S./B.A. or R.N.

Job description

Castle Biosciences Earns a Top Workplaces USA Award for the Fourth Consecutive Year!

Learn more at www.CastleBiosciences.com

Castle Biosciences Inc. is growing, and we are looking to hire a Reimbursement, Medical Claims, Appeal Writing Specialist working remotely from your home office based in the USA, with a start date prior to August 7, 2025.

A DAY IN THE LIFE OF A Medical Claims, Appeal Writing Specialist,

A typical day will include creating new appeal letters to dispute claim denials for Castle's portfolio of tests, editing appeal letters written by others, and maintaining the library of documents used in appeals. This role will primarily focus on writing and drafting new letters and utilizing existing templates-while also reviewing and synthesizing medical records in relation to coverage guidelines, such as medical policies and local coverage determinations (LCDs). Additional responsibilities include identifying key issues in denial letters and crafting responsive, persuasive arguments. Occasionally, the role may involve assisting in federal administrative law hearings by providing support or preparing necessary filings.

The ideal candidate for this role must provide a writing sample demonstrating their ability to persuasively write a medical appeal letter, either by uploading it or including it directly in the application. Additionally, candidates must demonstrate the ability to type an average of 35 words per minute with at least 90% accuracy. The typing test will be emailed to the applicant after they pass the first phase of the application process.

REQUIRED QUALIFICATIONS

• Minimum Requirements
  
  • Paralegal, B.S./ B.A. or R.N.
  • Minimum of two years' experience in healthcare insurance appeals to content development and/or health insurance litigation.
  • Experience working with internal management stakeholders as well as external entities such as counsel, administrative staff, judges, and insurance companies.
  • Experience navigating government and/or private payor health insurance appeal processes.
  • Typing speed of 35 or more words per minute, with 90% or greater accuracy.

*Please see the full success profile (job description) at the end of the job ad.

TRAVEL REQUIREMENTS

• <5% as needed for training and meetings.

SCHEDULE

• Monday-Friday, Standard 40-hour work week.

Why Castle Biosciences?

Exceptional Benefits Package:

• Excellent Annual Salary + 20% Bonus Potential
• 20 Accrued PTO Days Annually
• 10 Paid Holidays
• 401K with 100% Company Match up to 6%
• 3 Health Care Plan Options + Company HSA Contribution
• Company Stock Grant Upon Hire

READY TO JOIN OUR BIOTECH TEAM?

We understand your time is valuable, and that is why we have a very quick and easy application process. If you feel that this would be the right position for you, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you!

ABOUT CASTLE BIOSCIENCES INC.

At Castle, it all comes down to people. After all, disease doesn't just happen - it happens to people. We believe that disease management and treatment decisions can be better informed through a person's unique biology, which is revealed through the scientific rigor of our innovative, laboratory-developed tests. We are committed to empowering healthcare providers and patients with the goal of improved outcomes.

Every employee at Castle has an impact on patient care, and we work to ensure that everyone finds their work to be both challenging and rewarding. We behave with integrity and treat our colleagues with respect and kindness. Our culture fosters an environment of trust, transparency, and collaboration. We prioritize and encourage internal growth and professional development.

Castle Biosciences is an equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities.

If you have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please e-mail [e-mail].

This email was created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.

** No third-party recruiters, please

For more information, or to apply now, you must go to the website below. Please DO NOT email your resume to us as we only accept applications through our website.

https://castlebiosciences.applicantpro.com/jobs/3771345-600558.html