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Specialist, Appeals

Mindlance

Columbia, SC

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JOB DETAILS
SKILLS
Analysis Skills, Communication Skills, Customer Support/Service, Data Entry, Data Processing, Legal Documents, Legal Support Skills, Medical Affairs, Microsoft Office, Organizational Skills, Presentation/Verbal Skills, Reporting Skills, Writing Skills
LOCATION
Columbia, SC
POSTED
2 days ago
Status: Pending
Status Reason: Pending Sourcing

Reason: Replacement
Department: 182 Corporate Appeals
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: 07/27/2026
Estimated End Date: 11/01/2026
Hours Per Week: 40.00
Hours Per Day: 8.00
Standard Schedule:
Schedule Notes. PAY RATE, WILL NOT ACCEPT ANYTHING ABOVE.
CONTRACT POSITION
NON SCA
MANAGER WILL CONDUCT A PHONE SCREEN, THEN POSSIBLE ONSITE/TEAMS VIRTUAL INTERVIEW
MONDAY THROUGH FRIDAY, 9AM-5PM
TRAINING WILL BE 4-6 WEEKS
CAN TRANSITION TO REMOTE
MUST LIVE NO FURTHER THAN 1 HOUR FROM Client.
THIS IS 100% DATA ENTRY POSITION, LOOKING FOR COMPUTER AND DATA PROCESSING EXPERIENCE.



Contact Information:
MSP Contact Name: Whitt, Tonya
MSP Phone:

Addtional Information. PAY RATE, WILL NOT ACCEPT ANYTHING ABOVE.
CONTRACT POSITION
NON SCA
MANAGER WILL CONDUCT A PHONE SCREEN, THEN POSSIBLE ONSITE/TEAMS VIRTUAL INTERVIEW
MONDAY THROUGH FRIDAY, 9AM-5PM
TRAINING WILL BE 4-6 WEEKS
CAN TRANSITION TO REMOTE
MUST LIVE NO FURTHER THAN 1 HOUR FROM Client.
THIS IS 100% DATA ENTRY POSITION, LOOKING FOR COMPUTER AND DATA PROCESSING EXPERIENCE.

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.

About the Company

M

Mindlance