Appeals Processing Assistant (Hybrid Option) Job at Partners Health Management, Indiana

dFhrY29MNFlqclNZUGRXMEhTT1Vsanc5UkE9PQ==
  • Partners Health Management
  • Indiana

Job Description

Appeals Processing Assistant (Hybrid Option) Location Hybrid remote in Gastonia, NC :

Competitive Compensation & Benefits Package!

Position eligible for -

  • Annual incentive bonus plan
  • Medical, dental, and vision insurance with low deductible/low cost health plan
  • Generous vacation and sick time accrual
  • 12 paid holidays
  • State Retirement (pension plan)
  • 401(k) Plan with employer match
  • Company paid life and disability insurance
  • Wellness Programs

See attachment for additional details.

Office Location: Gastonia NC; Hybrid Work Option Available

Projected Hiring Range : $31,835 - $37,541; Depending on Experience Closing Date : Open Until Filled

Primary Purpose of Position:

This position provides administrative and office/procedural support work for the Appeals unit by relieving the department of routine office tasks. This position will also provide departmental support by creating, maintaining, and/or distributing appeals, reports, spreadsheets and databases.

Role and Responsibilities:

90%: Administrative Departmental Activity Support:

  • Provide administrative support to the Appeal Department including but not limited to copying, filing, mailing, meeting coordination and other administrative duties as needed.
  • Processing Reconsiderations/Appeals that come into the department and adhere to Appeal timeframes.
  • The Administrative Support will create and track Appeal information.
  • Provides rotating back up support for the front desk Administrative Assistant.
  • Provide assistance to the Appeals process by assembling Appeal folders for UM Supervisors/ Appeal Clinicians.
  • Coordination/scheduling of Mediation/Formal Hearing schedule; Recording/documenting Mediation Summary.
  • Tracking Notice of Decision letters and necessary outcomes in spreadsheets.
  • The processing assistant will maintain filing system for all Appeal files
  • Will mail acknowledgement letters of receipt and assist with telephone calls.

10% Other: Complete other supportive duties as assigned by supervisor.

Knowledge, Skills and Abilities:

  • Considerable knowledge of office techniques and technology
  • Excellent computer skills and proficient in Microsoft office (Word, Excel, Outlook)
  • Ability to communicate effectively both orally and in writing
  • Ability to gather information and produce reports
  • Ability to establish and maintain effective interpersonal relationships
  • Ability to analyze and interpret policy and procedural guidelines
  • Ability to organize workflow and coordinate activities
  • Ability to effectively problem-solve
  • Ability to manage and uphold integrity and confidentiality of sensitive data

Education and Experience Required:

High School graduate or equivalent and two (2) years of administrative support experience; or an equivalent combination of training and experience.

Education and Experience Preferred:

Office administration experience within an agency providing or managing MH/SU/DD services. Previous experience working with information of a sensitive nature preferred.

Licensure/Certification Requirements: N/A

Job Tags

Work at office, Remote work,

Similar Jobs

WakeMed Health & Hospitals

Registered Nurse (RN) - Neonatal ICU Job at WakeMed Health & Hospitals

 ...collaborate in the delivery of care.Department Description: Nursing Benefits/Highlights: Career Ladder RN I IV, depending on education and experience Sign-On Bonus and/or Relocation Incentive available for select positions Competitive Benefits Package... 

Waiter.com

Portland Delivery Driver / Rider Job at Waiter.com

The Portland branch of Waiter.comis focused on sustainable catering and food delivery to Portland's downtown offices. Utilizing a mixture of Electrified Cargo bikes and Car based deliveries, we create and design custom menus and restaurant rotations for our corporate ...

NorthPoint Search Group

Tax Accountant - CPA Job at NorthPoint Search Group

We are working with a well established CPA firm in the Destin area that is looking to add experienced Tax Accountants to their team. The ideal candidates will have previous experience in public accounting and must be a CPA. Position details as follows: Responsibilities... 

V R Della Infotech Inc

Administrative - Administrative/Executive Assistant II Job at V R Della Infotech Inc

 ...individual to join our team in an innovative, hybrid role: primarily as an ASL Interpreter, with additional responsibilities in administrative assistance. This full-time position is centered around ensuring comprehensive communication support through American Sign Language... 

Healthcare Recruitment Counselors

Chiropractor Towson MD Job at Healthcare Recruitment Counselors

Chiropractor Towson MD $90k - $100k per year plus bonuses We are looking for a motivated Chiropractor, who is well rounded in their adjusting skills, to join our award-winning Chiropractic practice full time in Towson MD. We are seeking a Chiropractor, with a passion...