Job Title: Admin2-Appeals

Job Location: Remote, NY

Duration: Temp to Perm

Shift Schedule: 8am – 5pm EST

Summary:

We are seeking a dedicated professional to join our team as an Admin2-Appeals. This role involves handling various administrative tasks related to case management and appeals, ensuring efficient and accurate processing of information.

Responsibilities:

• Type/generate letters and other documents, as necessary.
• Assist in the preparation of reports.
• Create files in the case management system.
• Update case status in the case management system.
• Email file determination letters to interested parties.
• Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs, and health plans and input the necessary information into the system.
• Respond to incoming calls from clients, health plans, providers, and enrollees regarding case status, program questions, and the appeals process.
• Perform research into invoicing issues and conduct outreach to health plans regarding unpaid invoices.

Required Skills:

• High School diploma, GED, or equivalent required.
• 2–4 years of experience required.