Appeals Litigation Legal Assistant - Hybrid

Remote Jobs; Nashville (TN); Remote; USD 10,000 - 60,000; Full time

Job summary

A recruitment agency for remote positions seeks an experienced professional for Medicaid appeals processing. Responsibilities include managing caseloads, conducting outreach, and reviewing appeals. Candidates must have a bachelor's degree and at least 2 years of relevant experience. Strong organizational and communication skills are essential for success. This role offers career advancement and a collaborative work environment.

Qualifications

• Graduation from an accredited college or university.
• Minimum of 2 years of relevant work experience or equivalent.
• Strong organizational skills, prioritize and manage workload.

Responsibilities

• Maintain a high-volume caseload for appeals processing.
• Conduct outreach to explain actions related to Medicaid programs.
• Review appeals for potential resolution within policy guidelines.

Skills

Organizational skills

Advanced writing skills

Communication skills

Ability to prioritize

Ability to multi-task

Education

Bachelor's degree in related field

Job description

Why consider this job opportunity

• Salary up to $30.00/hr
• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to work on meaningful appeals that impact Medicaid services
• Involvement in a high-performing team that promotes the organization's mission

What to Expect (Job Responsibilities)

• Maintain a high-volume caseload while adhering to timeliness standards for appeals processing
• Conduct outreach to explain the state's actions related to Medicaid programs and coordinate with staff for resolution
• Review appeals daily for potential resolution within policy guidelines and document actions as necessary
• Demonstrate attention to detail in researching appeal cases and documenting notes for proper case processing
• Participate in unit meetings and discussions aimed at improving workflow

What is Required (Qualifications)

• Graduation from an accredited college or university with a bachelor\'s degree in a related field, preferably in business administration, management, public health, health policy, paralegal, or legal assistant studies
• Minimum of 2 years of relevant work experience or an equivalent combination of education and work experience
• Strong organizational skills, including the ability to prioritize, multi-task, and manage workload to meet deadlines
• Ability to foster and maintain cohesive working relationships
• Advanced writing and communication skills

How to Stand Out (Preferred Qualifications)

• Experience in appeals processing or Medicaid-related work
• Demonstrated ability to adapt to changing priorities and deadlines
• Proven sound judgment in decision-making

#HealthcareServices #LegalAssistance #CareerOpportunity #CompetitivePay #TeamWork

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