Appeals Specialist #26-25828

$17 per hour

Columbia, SC

Contract

Duration: 3 months+ (Possible extension)

Job Description:

• Schedule: Monday-Friday, typically 8am-5pm (Some flexibility for an earlier start time)

• A typical day in this role: Employees will be performing high-volume data entry, processing non-medical reviews and redetermination letters.

• Strong typing and data entry skills are required, along with the ability to navigate multiple systems simultaneously.

• The type of areas/duties the candidate has performed within their past work history — data entry, claims/appeals processing, or administrative document processing preferred.

• Adaptability for learning new processes quickly.

• This is not a call-taking or customer service role.

Responsibilities:

• Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy.

• 50% Applies attention to detail and data entry accuracy to review and process redetermination letters within required timeframes. Navigates multiple internal systems to input, update, and verify data related to member appeals.

• Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools.

• 30% Updates letters and documents within the department when necessary.

• 10% May gather and prepare documentation for legal inquiries and administrative requests.

• Required Skills and Abilities: Excellent typing and data entry skills. Ability to navigate multiple systems simultaneously. Strong attention to detail. Demonstrated proficiency in word processing and spreadsheet software. Excellent organizational skills. Good judgment skills. Proficiency in spelling, punctuation, and grammar skills. Team-oriented mindset. Required Software and Tools: Microsoft Office. Work Environment: Typical office environment.

Experience: 2 years job-related field.

Skillsets:

• A typical day in this role: Employees will be performing high-volume data entry, processing non-medical reviews and redetermination letters.

• Strong typing and data entry skills are required, along with the ability to navigate multiple systems simultaneously.

• The type of areas/duties the candidate has performed within their past work history — data entry, claims/appeals processing, or administrative document processing preferred.

• Adaptability for learning new processes quickly.

• This is not a call-taking or customer service role.

Education:

• High School Diploma or equivalent

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com .

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

AI Statement: By applying, you acknowledge that AI-assisted tools may be used during hiring.

IND01

#LI-AS140