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Sr. Appeals Admin

Careers Integrated Resources Inc New York, NY (Onsite) Contractor

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.


Requirements and Skills:
  • 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.
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Job Snapshot

Employee Type

Contractor

Location

New York, NY (Onsite)

Job Type

Admin - Clerical

Experience

Not Specified

Date Posted

10/30/2024

Job ID

24-19651

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