Appeals Clerk

Job Summary

A company is looking for an Appeals Clerk to provide administrative support for the Eligibility Appeals Operations Support (EAOS) Project.

Key Responsibilities

• Analyze appeals data using federal and state laws, correcting any errors found
• Issue informal resolutions based on appeal case reviews and contact appellants for additional information
• Utilize specialized tools to update appellant applications and determine eligibility during the appeal process

Required Qualifications

• High School diploma or equivalent required
• At least two (2) years of related experience required
• Associate's degree from an accredited college or university preferred
• More than two (2) years of experience in healthcare or appeals preferred
• Ability to commit to a four-week onsite training schedule with zero absences required