We are looking for an experienced Appeals Specialist to join our team on a contract basis. In this role, you will play a critical part in reviewing and processing appeals, ensuring high standards of accuracy and efficiency. This is a remote position based in Washington State, with no onsite training or meeting requirements, except for equipment pickup if local.

Responsibilities:

• Review and analyze incoming mail and faxes to route them to the appropriate recipient.

• Conduct thorough research using reference materials, online tools, and proprietary systems.

• Enter and manage new cases in the system, ensuring all production goals are consistently met.

• Accurately identify and prioritize expedited appeal requests for timely processing.

• Respond to appeals that require claimant authorization, adhering to all privacy guidelines.

• Validate and handle privacy-related tasks, including processing authorizations and managing confidential documents.

• Assist with office supply orders and scheduling appeal panels as needed.

• Help the department meet quality and productivity standards through teamwork and individual contributions.

• Perform additional tasks as assigned to support overall team goals.

• Experience in claims processing or healthcare patient services/customer service is preferred.

• Familiarity with healthcare industry platforms.

• Strong proficiency in data entry.

• Demonstrated ability to work effectively in a Windows-based PC environment.

• Excellent multitasking and organizational skills to manage workloads efficiently.

• Strong attention to detail with a focus on meeting productivity and quality benchmarks.

TalentMatch^®

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.