Sr. Appeals Admin

Job Title: Sr. Appeals Admin
Job Location: Remote, NY
Job Duration: 6 months (High possibility of extension and contract to hire based on performance)

Shift: M-F 8:00 Am - 5:00 Pm
Pay Rate: $16.20/hr on w2

Job Description:

• Assist with daily clerical tasks with an ability to prioritize workflow.
• Provide verbal decisions, appeal acceptance, request medical records from health plans and representatives through phone.
• Monitor and maintain high volume workflow through an email shared mailbox, fax and mail. Receiving and sending professional communications to members, representatives, health plans, clients in a timely manner.
• Collect, analyze and input incoming and outgoing data to ensure security of PHI/PII .
• Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other procedures of the position.
• Handle emails and phone calls efficiently, ensuring effective communication within and outside the organization.

• Be proficient in using Microsoft Teams, Excel, Word and Adobe.
• Not required but preferred – Salesforce, SharePoint, and Genesys telephony experience.
• Associate degree with 2+ years of experience.
• Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.