Analysis Skills, Communication Skills, Customer Support/Service, Detail Oriented, Legal Documents, Legal Support Skills, Medicaid, Medical Affairs, Microsoft Office, Organizational Skills, Presentation/Verbal Skills, Reporting Skills, Writing Skills
LOCATION
Columbia, SC
POSTED
Today
Status: Pending Status Reason: Pending Sourcing
Reason: Peak Period Department: 85D Medicaid Provider Service Job Category: Clerical/Administrative Job Code: MA160*MA-Medical Affairs Job Title: Specialist, Appeals Duties: Performs non-medical reviews and processes redetermination letters.
"50% Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy.
"30% Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools.
"10% Updates letters and documents within the department when necessary.
"10% May gather and prepare documentation for legal inquiries and administrative requests. Skills: Required Skills and Abilities: Demonstrated proficiency in word processing and spreadsheet software. Excellent organizational, customer service, and written and verbal communication skills. Good judgment skills. Proficiency in spelling, punctuation, and grammar skills.
Required Software and Tools: Microsoft Office.
Work Environment: Typical office environment. Keywords: Education: Required Education: High School Diploma or equivalent
Required Work Experience: 2 years job related field. # of Positions: 1
Location: Columbia, SC 4101 Percival Road,
Schedule: Start Date: 08/24/2026 Estimated End Date: 11/29/2026 Hours Per Week: 40.00 Hours Per Day: 8.00 Standard Schedule: Schedule Notes: MAX PAY RATE. NON SCA CONTRACT TO HIRE MUST BE AVAILABLE M-F 8:00AM- 4:30PM. ONSITE INTERVIEWS WILL BE CONDUCTED TRAINING WILL BE 4-6 WEEKS. ONSITE POSITION ONLY MUST BE LOCAL CANDIDATES 2-4 PREFERRED/NICE TO HAVE skill sets/qualities: "? Microsoft Office Skills "??Soft Skills: "??Detail Oriented to be able to be organized and able to complete tasks as assigned
Addtional Information: MAX PAY RATE. NON SCA CONTRACT TO HIRE MUST BE AVAILABLE M-F 8:00AM- 4:30PM. ONSITE INTERVIEWS WILL BE CONDUCTED TRAINING WILL BE 4-6 WEEKS. ONSITE POSITION ONLY MUST BE LOCAL CANDIDATES 2-4 PREFERRED/NICE TO HAVE skill sets/qualities: "? Microsoft Office Skills "??Soft Skills: "??Detail Oriented to be able to be organized and able to complete tasks as assigned
Your Magnit Platform Onsite Team is available at Prounlimited@bcbssc.com If you have any technical questions about the Magnit Platform application, please contact the Magnit Platform at helpdesk@pro-unlimited.com or: 1-888-368-9141 (United States) 00-800-7787-7877 (United Kingdom) 001-800-906-165 (Hong Kong) 010-0120-958-143 (Japan)
EEO:
Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.