Appeals Processing Assistant (Hybrid Option)

Partners Health Management
Gastonia, NC
Appeals Processing Assistant (Hybrid Option) Location Hybrid remote in Gastonia, NC : Competitive Compensation & Benefits Package! Position eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs See attachment for additional details. Office Location: Gastonia NC; Hybrid Work Option Available Projected Hiring Range : $31,835 - $37,541; Depending on Experience Closing Date : Open Until Filled Primary Purpose of Position: This position provides administrative and office/procedural support work for the Appeals unit by relieving the department of routine office tasks. This position will also provide departmental support by creating, maintaining, and/or distributing appeals, reports, spreadsheets and databases. Role and Responsibilities: 90%: Administrative Departmental Activity Support: Provide administrative support to the Appeal Department including but not limited to copying, filing, mailing, meeting coordination and other administrative duties as needed. Processing Reconsiderations/Appeals that come into the department and adhere to Appeal timeframes. The Administrative Support will create and track Appeal information. Provides rotating back up support for the front desk Administrative Assistant. Provide assistance to the Appeals process by assembling Appeal folders for UM Supervisors/ Appeal Clinicians. Coordination/scheduling of Mediation/Formal Hearing schedule; Recording/documenting Mediation Summary. Tracking Notice of Decision letters and necessary outcomes in spreadsheets. The processing assistant will maintain filing system for all Appeal files Will mail acknowledgement letters of receipt and assist with telephone calls. 10% Other: Complete other supportive duties as assigned by supervisor. Knowledge, Skills and Abilities: Considerable knowledge of office techniques and technology Excellent computer skills and proficient in Microsoft office (Word, Excel, Outlook) Ability to communicate effectively both orally and in writing Ability to gather information and produce reports Ability to establish and maintain effective interpersonal relationships Ability to analyze and interpret policy and procedural guidelines Ability to organize workflow and coordinate activities Ability to effectively problem-solve Ability to manage and uphold integrity and confidentiality of sensitive data Education and Experience Required: High School graduate or equivalent and two (2) years of administrative support experience; or an equivalent combination of training and experience. Education and Experience Preferred: Office administration experience within an agency providing or managing MH/SU/DD services. Previous experience working with information of a sensitive nature preferred. Licensure/Certification Requirements: N/A
Posted 2025-08-19

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