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Appeals coordinator

Expedite Technology Solutions, LLC
Nashville, TN Full Time
POSTED ON 2/25/2025
AVAILABLE BEFORE 5/1/2025
  • Ability to maintain a high-volume caseload and adhere to the timeliness standard of appeals while conducting the due process review.
  • Assist in the achievement of a high performing and positive work environment that will promote the Client’s Mission.
  • Daily receives and reviews appeals for potential resolution within policy guidelines. If a resolution cannot be found, make outreach.
  • Conduct outreach to explain the state's actions related to Client’s Medicaid programs and coordinate with other staff for the prompt resolution of appeals where necessary.
  • Demonstrates attention to detail in researching appeal cases and documenting notes for proper case processing.
  • Attends and actively participates in all unit meetings and problem-solving discussions for workflow improvements.

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