Sonyelle Adkins - Remote Candidate

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Target rolesGrievances & Appeals Analyst, Claims Representative

TimezoneAmerica/New_York

Work eligibilityAvailable on request

Profile updatedAug 16, 2026

Profile summary

What this candidate is looking for

Grievances & Appeals Analyst

Target roles

Grievances & Appeals AnalystClaims RepresentativeClaims ProcessorHealth insuranceInsurance claimsClaims Specialist

Skills

Provider Dispute ResolutionGrievances & Appeals ManagementProvider Payment DisputesClaim Adjustments & ReconsiderationsMedical Claims AdjudicationPrior Authorization ReviewClinical Documentation ReviewProvider Appeals ProcessingHealthcare OperationsRegulatory ComplianceHIPAA ComplianceMedical Records AnalysisProvider RelationsMember AdvocacyMedical Necessity CriteriaBenefit Plan InterpretationProvider Contract AnalysisReimbursement MethodologiesClaims Research & InvestigationWritten Determination LettersCase ManagementHealthcare Data SystemsProcess ImprovementQuality AssuranceCross-Functional CollaborationCPTHCPCSICD-10Revenue CodesModifiersFee Schedule Application

Remote preferences

LocationUnited States

SeniorityMid level

Salary targetNot shared

Employment typefull-time