Eligibility Appeal Agent 1

The American Registry of Radiologic Technologists; Saint Paul (MN); Hybrid; USD 30,000 - 35,000; Full time

Benefits offered by this job

Health insurance

Retirement contributions

Paid time off

Hybrid option

Job summary

The American Registry of Radiologic Technologists (ARRT) is seeking an Eligibility Appeal Agent to administer non-ethics related appeals and ensure process compliance. You will review, evaluate, and log eligibility appeals and prepare supporting data for decisions.

Based in Mendota Heights with a partial hybrid option, this full-time role emphasizes attention to detail, strong written and verbal communication, and collaboration with ARRT staff to uphold high standards and accurate credentialing.

Qualifications

• High school diploma or equivalent required.
• Experience in case management, claims adjustment, investigations, litigation, or risk management.
• Preferred: associate degree or higher in a related field.
• Familiarity with policy administration and data analysis is a plus.

Responsibilities

• Review, evaluate, and track eligibility appeal requests.
• Prepare data, analyses, and reports.
• Serve as a subject matter resource for staff.
• Monitor FEMA website for natural disasters to coordinate flagging accounts in databases and update dashboards.
• Draft correspondence explaining ARRT policies and procedures.
• Ensure eligibility appeals are administered in compliance with policies and procedures.

Skills

Written communication

Verbal communication

Critical thinking

Analytical skills

Attention to detail

Adaptability

Case management

Education

High School Diploma or equivalent

Associate degree or higher

Tools

Microsoft 365

Job description

• Location 1255 Northland Drive,Saint Paul, MN, 55120,United States
• Job Category Investigations, Appeals, Policy Administration
• Employee Type FT Non-Exempt

Are you detail-oriented? Enjoy investigating and auditing? Have experience in claims, compliance, or appeals? If so, as anEligibility Appeal Agentyou could be part of our small yet dynamic education requirements team responsible for the certification and registration compliance for over 370,000 registrants here with The American Registry of Radiologic Technologists (ARRT) .

As the Eligibility Appeal Agent, you'll administer, and process non-ethics related appeals filed by our customers. Using your case management or claims investigations expertise, you'll ensure eligibility appeal process compliance with policies and procedures.

You'll also:

Review, evaluate, and track eligibility appeal requests

Prepare data including statistical analyses and reports

Serve as a subject matter resource to other staff

Duties and Responsibilities

Education Requirements Eligibility Appeals

Monitor, review, and log incoming eligibility appeals and respond to appeal-related inquiries.

Serve as an investigator for non-ethics related eligibility appeals.

Review, evaluate, and track eligibility appeal request forms to ensure completeness, accuracy, and timely processing.

Prepare case data, findings, and supporting documentation, and route investigation materials to the appropriate ARRT staff for decisions and determinations.

Draft professional correspondence requesting additional information, communicating appeal outcomes, and explaining ARRT policies and procedures.

Ensure the eligibility appeals are administered in compliance with established policies and procedures.

Monitor Federal Emergency Management Agency (FEMA) website for natural disasters to coordinate flagging accounts in databases and update customer dashboards as necessary.

EducationRequirementsDepartmental Support

Support the Eligibility Appeal team.

Serve as a resource to assist other staff.

Model and embrace ARRT’s commitment of providing world-class customer service, especially via communications with internal customers in response to questions or data in both verbally and in writing.

Participate in ongoing learning activities to improve job performance (e.g., goals, development plans, software training).

Communicate and collaborate with other staff members in a culture of continuous quality improvement.

Support organizational priorities through active participation in ARRT Projects as assigned.

Proactively manage and deliver assigned ARRT project work.

Other duties as assigned and modified as business needs dictate.

Skills and Abilities

Ability to work both independently and collaboratively.

Proven written and verbal communication skills with a solid foundation of writing fundamentals.

Ability to apply critical thinking and problem-solving skills to analyze a variety of different situations with several possible explanations or alternatives and make decisions.

Ability to easily adapt to change based on the needs of the position, department, or organization.

Demonstrated ability to prioritize multiple assignments with strong attention to detail and ability to think analytically.

Proficiency with Microsoft 365 and other platforms and technology.

Desire and drive to acquire knowledge and skills necessary to accomplish results and new challenges.

Demonstrated ability to understand and follow written procedures.

Experience in understanding and adhering to procedures and policies.

Requirements

Minimum Qualifications

High School Diploma or equivalent

Case management, claims adjusting, investigations, litigation, or risk management experience.

Preferred Qualifications

Associate degree or higher

Quality Administration or medical-related field experience

Policy administration experience

Metric analysis and data presenting experience

Appeal reconsideration letter writing experience

Physical Demands

Close Visual Acuity: Preparing and analyzing data; viewing a computer screen; and extensive reading

Fingering: Typing, or otherwise working, primarily with fingers

Hearing: Ability to receive detailed information through oral communication

Reaching: Extending hand(s) and arm(s) in any direction

Repetitive Motions: Substantial movements (motions) of the wrists, hands, and/or fingers

Sedentary Work: Sitting most of the time; occasional walking and standing

Talking: Spoken word activities can be relayed accurately, loudly, or quickly

Summary

The American Registry of Radiologic Technologists (ARRT) is a leading credentialing organization. ARRT offers certification and registration in a wide range of radiologic disciplines, helping people who work in medical imaging and radiation therapy to develop their careers. With nearly 370,000 registrants, we promote high standards of patient care with each new credential we award. Visit www.arrt.org for more information.

This fulltime position has a regular schedule of Monday-Friday 8:00am-4:30pm. Mendota Heights location (with partial hybrid option/minimum of 1-2 days per week onsite).

Salary Description: $21.90 - $25.76 per hour

We offer competitive wages, and a variety of excellent benefits , including health insurance options, retirement contributions, and paid time off.