Appeals Specialist

Job Title: Appeals Specialist
Location: Columbia, SC. 29229 (4-6 weeks onsite training, then possibility to transition into remote)
Duration: 3 months assignment with possible extension.
Shift: Mon-Fri 8 AM - 5 PM
Payrate: $17/hr.

Responsibilities:

• Performs non-medical reviews and processes redetermination letters.
• 50% Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy.
• 30% Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools.
• 10% Updates letters and documents within the department when necessary.
• 10% May gather and prepare documentation for legal inquiries and administrative requests.

Required Education: High School Diploma or equivalent.
Required Work Experience: 2 years job related field.
Languages: English.