Appeals Representative

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Syndeo Staffing is seeking a qualified Appeals Representative for a temp-to-hire position at a local healthcare company. The hours for this position are Monday - Thursday 8am-5pm and Friday 8am-4pm. 



An Appeals Representative will review, research and resolve all types of medical claim appeals from members and providers within stringent timeframes.

Essential Functions:

  • Log each appeal as it is received
  • Prepare acknowledgement and response letters to members and providers
  • Identify, reach, and resolve claim disputes
  • Prepare and submit appeals for Claims Review Committee
  • Review and respond to legal requests
  • Develop and maintain an excellent working knowledge of policies in order to determine eligible benefits and understand how claims were processed or why they were denied
  • Assist providers and members with questions regarding their claims, appeals or policies both in writing and verbally
  • Provide backup coverage for the call center
  • Abide by HIPAA regulations and other privacy policies at all times
  • Maintain an exemplary attendance and tardiness record following established company guidelines
  • Demonstrate ability to work well with other departments and all Medova staff members
  • Complete other tasks, as assigned


  • Technical Capacity
  • Problem Solving
  • Attention to Detail
  • Initiative

Required Education and Experience:

  • High School Diploma or equivalent
  • 1 year professional office experience
  • Knowledge of medical terminology and diagnosis and procedure codes

Preferred Education and Experience:

  • Additional course work in the medical field
  • 2 year health insurance industry knowledge

Computer Skills:

  • Microsoft Outlook
  • Microsoft Word
  • Microsoft Excel
  • Data Entry
  • Ten Key
Location: Wichita, KS
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