Senior Admin-Appeals

Job Title : Senior Admin-Appeals
Location : Remote. EST

Duration : 3 months+ contract (possibilities of extension)

Shift: 9:00 am - 5:00 pm

Pay Rate: $18.50/Hour. on W2

Essential Duties and Responsibilities:

· Work with sensitive information & maintain confidentiality - PHI/PII

· Create decision letters for clinical reviews

· Perform QC of completed reviews and decision letters

· Adjudication support to clinical team and management

· Perform triage for new appeals

· Prepare and Fax requests for information and/or documentation, as needed

· Perform data entry accurately systems

· Perform work on special projects, as needed

· Assist/support to other projects, as determined by management

· Work independently in remote setting

· Completes assigned work according to deadlines

· Meet or exceed productivity metrics

· Maintain quality score of 95% or above

· Able to function in fast-paced environment

· Participate in team meetings

· Work schedule flexibility, as determined by management team

· Perform other duties assigned by management.