Appeals Lead

CYNET SYSTEMS
  • West Sacramento, CA
  • $38 Per Hour
  • Temporary
  • Contractor
  • Part-time
  • Instant Apply
4 days ago

Job Description

Job Title: Appeals Lead
Job Location: West Sacramento, CA
Job Type: Contract
Job Description:
  • As an Appeals Lead, you will coordinate and support daily appeals operations to ensure timely, accurate, and compliant processing of provider appeals.
  • Under the direction of the Supervisor, this position provides subject matter expertise, assists with workflow management, monitors quality, and supports staff in meeting operational requirements.
Requirements:
  • Minimum of three years of experience in healthcare appeals and grievances, preferably Medi-Cal or Medicaid.
  • Analytical and critical thinking skills.
  • Ability to train and coach team members. Attention to detail and accuracy.
  • Strong written and verbal communication skills.
  • Previous lead or senior claims processing experience preferred.
  • Attention to detail and quality assurance.

Benefits:

Our Benefits Include:

  • Medical, Dental, and Vision Insurance
  • 401(k) Retirement Plan
  • Health Savings Account (HSA)
  • Disability Insurance (Short-Term and Long-Term)
  • Life and AD&D Insurance
  • Paid Sick Leave (where required by applicable state or local law)
  • Supplemental Insurance Plans
  • Identity Theft Protection
  • Pet Insurance
  • Employee Wellness Programs
  • Employee Assistance Program (EAP)
  • Career Growth and Professional Development Opportunities

Disclaimer: Benefits eligibility, accrual rates, and usage limits may vary based on employment status, length of service, and work location. Paid Sick Leave is provided in strict accordance with applicable state and municipal mandates. Cynet Systems Inc. reserves the right to modify, amend, or terminate any benefit plans at any time in accordance with applicable laws.


About Cynet Systems


Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading technology staffing and workforce solutions company serving Fortune 500 companies, government agencies, and enterprise organizations across the United States and Canada. We deliver agile, scalable talent solutions across IT, engineering, life sciences, clinical, and professional staffing, powered by a high-performing recruitment engine operating across North America and Asia.

As a nationally and locally certified Minority Business Enterprise (MBE), Cynet Systems is committed to helping organizations build high-performing teams while empowering professionals to grow rewarding careers. Our organization is certified to ISO 9001, ISO 14001, ISO 27001, and SOC 2 Type II standards, reflecting our commitment to quality, security, operational excellence, and customer success.

Numbers & Facts

LocationWest Sacramento, CA
Job TypeTemporary, Contractor, Part-time
Salary$38 Per Hour
HeadquartersWest Sacramento, CA, US

Skills

  • Accidental Death and Dismemberment (AD&D)unmatched
  • Analysis Skillsunmatched
  • Biologyunmatched
  • Claims Processingunmatched
  • Coachingunmatched
  • Communication Skillsunmatched
  • Compensation and Benefitsunmatched
  • Dental Insuranceunmatched
  • Detail Orientedunmatched
  • Disability Insuranceunmatched
  • Employee Assistance Planunmatched
  • Fortune 500 Customersunmatched
  • Governmentunmatched
  • Healthcareunmatched
  • ISO (International Organization for Standardization)unmatched
  • ISO 14001unmatched
  • ISO 9001unmatched
  • Information Technology & Information Systemsunmatched
  • Insuranceunmatched
  • Medi-Calunmatched
  • Medicaidunmatched
  • Operational Supportunmatched
  • Operationsunmatched
  • Presentation/Verbal Skillsunmatched
  • Quality Assuranceunmatched
  • Quality Monitoringunmatched
  • State Laws and Regulationsunmatched
  • Technical Recruitingunmatched
  • Time Managementunmatched
  • Training/Teachingunmatched
  • Vision Planunmatched
  • Writing Skillsunmatched

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