Remote Medical Appeals Specialist - (Must reside in WA, OR, ID, or UT)

Medical Appeals Specialist (Remote)
Company: LHH Recruitment Solutions
Job Type: Contract
Duration: 6 months
Location: 100% Remote (Must reside in WA, OR, ID, or UT)
Pay Rate: $24-$26 (DOE)

LHH Recruitment Solutions is seeking an experienced Medical Appeals Specialist for a large healthcare client on the insurance side. This fully remote contract role will focus on managing provider billing disputes and medical appeals, supporting timely and accurate resolution in compliance with healthcare regulations.
Key Responsibilities

• Review, process, and manage medical appeals and provider billing disputes

• Analyze medical claims, documentation, and payer policies to determine outcomes

• Communicate with providers, internal stakeholders, and payers regarding appeal status and resolutions

• Ensure appeals are handled in accordance with health insurance guidelines and regulatory requirements

• Maintain accurate documentation and tracking of appeals activity

• Meet productivity, quality, and turnaround time standards

Qualifications

• Minimum 3–5 years of experience in medical appeals

• Strong working knowledge of the health insurance industry

• Experience handling provider billing disputes

• High attention to detail with strong analytical and organizational skills

• Ability to work independently in a fully remote environment

Pay Details: $24.00 to $26.00 per hour

Search managed by: Gerald Morales

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.