Appeals Specialist

• Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy
• Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools
• Updates letters and documents within the department when necessary
• May gather and prepare documentation for legal inquiries and administrative requests

• High School Diploma or equivalent
• 2 years job related field
• Demonstrated proficiency in word processing and spreadsheet software
• Excellent organizational skills
• Excellent customer service skills
• Excellent written and verbal communication skills
• Good judgment skills
• Proficiency in spelling, punctuation, and grammar skills
• Required Software and Tools:
  Microsoft Office

Demonstrates proficiency in Microsoft Office, particularly in word processing and spreadsheet software, while ensuring accuracy and timeliness in processing documentation and reports. Strong organizational, customer service, and communication skills are essential for effectively handling administrative requests and legal inquiries.

• Word Processing
• Spreadsheet Software
• Documentation Preparation
• Data Analysis
• Report Preparation

• Organizational Skills
• Customer Service Skills
• Written Communication Skills
• Verbal Communication Skills
• Judgment Skills

• High School Diploma or Equivalent