Appeals Clerk

A company is looking for an Appeals Clerk to provide administrative support for the Eligibility Appeals Operations Support Project.

Key Responsibilities

Analyze appeals data and ensure compliance with federal and state laws and regulations

Issue informal resolutions based on appeal case reviews and contact appellants for additional information

Utilize specialized tools to update appellant applications and ensure proper processing of benefits coverage

Required Qualifications

High School diploma or equivalent required; Associate degree preferred

At least two years of related experience required; more than two years in healthcare or appeals preferred

Intermediate to advanced skill level in Microsoft Word, Excel, or Access

Ability to type 35 words per minute accurately

Must reside in the Continental US and meet home office requirements for internet connectivity