Healthcare Appeals Specialist

Allied Benefit Systems

Appeals Specialist responsible for managing claim appeals in a fully remote role at Allied Benefit Systems. Organizing documentation, composing responses, and communicating effectively with clients and departments.

Posted 7/7/2026full-timeRemote • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $20 - $21 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing claim appeals, including reviewing documentation, composing responses, and effectively communicating with clients and departments. Proficient in utilizing Excel, Word, and Microsoft Access for documentation and analysis of claims.

Highest-signal resume keywords

Claim Appeals ManagementMedical Claims HandlingExcel ProficiencyEffective CommunicationDocumentation Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim AppealsMedical ClaimsDental ClaimsVision ClaimsDocumentation ReviewAnalysis of ClaimsResponse Letter CompositionQicLink System DocumentationMicrosoft AccessExcel

Soft Skills

Effective CommunicationAnalytical ThinkingTimely Task Completion

Tools & Technologies

QicLink SystemMicrosoft ExcelMicrosoft WordMicrosoft Access

Industry Keywords

Claim AppealsSummary Plan DocumentsQuality ResultsClient Communication

About the role

Key responsibilities & impact

Responsible for the organization and completion of all claim appeals received in the Appeal Department.
Reviewing appeal and supporting documentation
Reviewing Summary Plan Documents to determine validity of appeal
Composing appeal response letters when necessary
Communicating with other departments and clients when necessary
Documenting the QicLink system and database with appeal status and outcome
Emailing claims examiners and other units when necessary
Prioritize incoming referrals to complete all tasks timely
Performs other related duties as assigned

Requirements

What you’ll need

3 years or more of comprehensive experience with the billing of or otherwise handling of medical, dental and vision claims required.
Applicant should be proficient in the use of the Excel and Word programs
Experience with or ability to learn Microsoft Access
Be able to communicate effectively both orally and by email
Applicant must have the ability to analyze claim situations, take appropriate actions and be great with communication and documentation.
Applicant must have a history of excellent quality results and the desire to take on a new challenge if currently employed at Allied.

Benefits

Comp & perks

Medical
Dental
Vision
Life & Disability Insurance
Generous Paid Time Off
Tuition Reimbursement
EAP
Technology Stipend