Job Description
Job Title: Quality Improvement (QI) Appeals Technician
Position Overview:
The QI Appeals Technician will support the appeals and quality improvement team by assisting in the review and resolution of denied claims. This role works collaboratively with coordinators and cross-functional teams to identify root causes of denials, ensure accurate processing, and support compliance with payer and regulatory requirements. The ideal candidate brings a strong understanding of healthcare operations, including claims processing, prior authorizations, and medical terminology, along with excellent communication skills.
Key Responsibilities:
+ Support the end-to-end appeals process, including intake, review, and follow-up on denied claims
+ Analyze claims to identify errors or discrepancies that contributed to denials
+ Review medical records, coverage determinations, and benefits to support appeals decisions
+ Conduct insurance EOB (Explanation of Benefit...
Position Overview:
The QI Appeals Technician will support the appeals and quality improvement team by assisting in the review and resolution of denied claims. This role works collaboratively with coordinators and cross-functional teams to identify root causes of denials, ensure accurate processing, and support compliance with payer and regulatory requirements. The ideal candidate brings a strong understanding of healthcare operations, including claims processing, prior authorizations, and medical terminology, along with excellent communication skills.
Key Responsibilities:
+ Support the end-to-end appeals process, including intake, review, and follow-up on denied claims
+ Analyze claims to identify errors or discrepancies that contributed to denials
+ Review medical records, coverage determinations, and benefits to support appeals decisions
+ Conduct insurance EOB (Explanation of Benefit...
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Submit ApplicationJob Details
- Location Canoga Park, CA
- Job Type Full-time
- Category other-general
- Posted Date June 28, 2026
- Application Deadline July 04, 2026