Appeals Clerk

Job Summary

A company is looking for an Appeals Clerk to provide administrative support for the Eligibility Appeals Operations Support (EAOS) 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 clarification
• Schedule hearings for appellants and manage related administrative tasks

Required Qualifications

• High School diploma or equivalent required; Associate degree preferred
• At least two (2) years of related experience required, preferably in healthcare or appeals
• 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