Description
We are looking for a detail-focused Administrative Assistant to support the External Appeal review process. This Long-term Contract position is ideal for someone who communicates clearly, stays organized in a high-volume setting, and can manage sensitive case documentation with accuracy. The person in this role will help assess incoming appeal requests, coordinate written and verbal communication with involved parties, and maintain complete electronic records while following established procedures.


Responsibilities:

• Review External Appeal submissions to determine whether they meet eligibility standards based on defined guidelines and procedures.

• Communicate with consumers, healthcare providers, and insurance representatives by phone and in writing to gather required documentation and explain administrative steps.

• Prepare and send written requests for missing or supporting information needed to move cases forward.

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