Appeals and Disputes Coordinator

S R INTERNATIONAL INC

Appeals and Disputes Coordinator

Phoenix, AZ
Full Time
Paid
  • Responsibilities

    Job Description:

    This position acts as the primary point of contact for processing documents related to service reductions, reviewing, and coordinating all process activities with DES/DDD. This position will require critical thinking and the ability to determine if the documentation supports the requirements of the adverse benefit change.

    Local Only Candidates - Resumes must specify the current location of the candidate, all those who do not state current location will not be considered. - AS A REMINDER - Candidates must be local at time of submission, and available for in person interviews within 1 week of the posting close date. Candidates must also be able to start within 2 weeks of an offer being made.

    Hybrid: can work fully remote or in office if they prefer. Not a requirement to be in office, but an option if they need assistance.

    Skills:

    Ability to conduct research

    Ability to understand, interpret, and apply Federal and State laws, statutes, rules, regulations, and policies

    Ability to convey complex information in a written form in easily understood language, and is clear, concise, and supported by documentation.

    Skill in analyzing, evaluating, and interpreting a variety of programmatic information.

    Skill in problem-solving.

    Effective oral and written communication

    Work remotely and in the office as needed

    Work independently and follow standard operating procedures

    Training will be provided.

    Qualifications:

    High School Diploma or GED

    Required Skills

    Experience in reviewing and analyzing high volume documents/information

    Required Skills

    1 year of high-volume case management experience