Medical Benefits Appeals Specialist

Job Description

PAY: This position offers competitive hourly pay and overtime availability.

BENEFITS:

Dental and vision

Health insurance

401(k) with company match

Education assistance

Employee assistance program

PTO

Growth opportunities

HSA/FSA

Life insurance

Short- and long-term disability

Wellness programs

Sponsored health clinic

Company parties

QUALIFICATIONS

Proficient in Microsoft Word, Excel, and Outlook

Excellent organizational skills and strong attention to detail

Strong writing, grammar, punctuation, and sentence structure skills

Effective problem-solving and decision-making skills

At least one year of medical terminology or medical billing/coding experience is preferred for this position.

SCHEDULE: This full-time position operates Monday through Friday, from 8:00 AM to 5:00 PM, with overtime available as needed.

WHAT TO EXPECT AS A MEDICAL BENEFITS APPEALS SPECIALIST

In this role, you'll review and research appeals related to benefit determinations, Usual & Customary reductions, discount disputes, and eligibility issues. You'll collaborate with internal and external review teams, draft professional response letters, and maintain communication with providers, members, attorneys, and vendors. Your work ensures appeals are resolved accurately, timely, and in compliance with regulatory guidelines-making a real difference in the customer experience.

ABOUT OUR COMPANY

At Unified Group Services, we prioritize our customers and their needs! Since 1996, we've been headquartered in Anderson, Indiana, serving as a full-service third-party administrator (TPA) for self-funded group health insurance plans. Our mission is centered on you-our customers and team members-because we believe exceptional service stems from a strong culture. We offer innovative programs, advanced technology, and reliable partnerships to help control healthcare costs while ensuring access to top-notch benefits. Our experienced team provides personalized, prompt service, upholding the values that have guided us from the beginning. If you want to join a company where your work truly makes an impact, Unified Group Services is the right choice.

HOW TO APPLY

Full-time