Appeals / Legal Assistant

$56,160 - $58,240/Yr

Expedite Technology Solution - Nashville, TN

posted about 1 month ago

Full-time - Entry Level
Nashville, TN
Professional, Scientific, and Technical Services

About the position

The Appeals / Legal Assistant position involves managing a high-volume caseload related to appeals within the TennCare Medicaid programs. The role requires adherence to timeliness standards while conducting due process reviews and promoting a positive work environment aligned with the TennCare Mission. The assistant will be responsible for reviewing appeals, conducting outreach for resolution, and ensuring proper documentation and case processing.

Responsibilities

  • Maintain a high-volume caseload and adhere to timeliness standards of appeals.
  • Assist in achieving a high-performing and positive work environment that promotes the TennCare Mission.
  • Receive and review appeals for potential resolution within policy guidelines.
  • Conduct outreach to explain the state's actions related to TennCare Medicaid programs.
  • Coordinate with other staff for the prompt resolution of appeals where necessary.
  • Demonstrate attention to detail in researching appeal cases and documenting notes for proper case processing.
  • Attend and actively participate in all unit meetings and problem-solving discussions for workflow improvements.
  • Navigate TEDS effectively.

Requirements

  • Graduation from an accredited college or university with a bachelor's degree in a related field (preferred degree in business administration, management, public health, health policy, paralegal, or legal assistant studies).
  • 2 years of relevant work experience or an equivalent combination of education and work experience.
  • Ability to foster and maintain cohesive working relationships.
  • Ability to adapt to changing priorities and deadlines.
  • Ability to exercise sound judgment.
  • Strong organizational skills necessary, including the ability to prioritize, multi-task, and manage workload to meet specific time frames and deadlines.
  • Advanced writing and communication skills.

Benefits

  • Contract position with hourly pay of $27.00 - $28.00 per hour.
  • Expected hours of 37.5 per week.
  • Day shift schedule from Monday to Friday.
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