What are the responsibilities and job description for the Appeals coordinator position at Expedite Technology Solutions, LLC?
Ability to maintain a high-volume caseload and adhere to the timeliness standard of appeals while conducting the due process review.
Assist in the achievement of a high performing and positive work environment that will promote the Client’s Mission.
Daily receives and reviews appeals for potential resolution within policy guidelines. If a resolution cannot be found, make outreach.
Conduct outreach to explain the state's actions related to Client’s Medicaid programs and coordinate with other staff for the prompt resolution of appeals where necessary.
Demonstrates attention to detail in researching appeal cases and documenting notes for proper case processing.
Attends and actively participates in all unit meetings and problem-solving discussions for workflow improvements.
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