MilwaukeeRecruiter Since 2001
the smart solution for Milwaukee jobs

Appeals Clerk

Company: Integrated Resources Inc
Location: Milwaukee
Posted on: February 16, 2020

Job Description:

Job Description

Job Title: Appeals ClerkDuration: 3+ months contract
Location: Milwaukee, Wisconsin 53224
Shift: 8:00AM to 5:00PM

Need strong data entry abilities, healthcare experience and attention to details
Will take information and transfer appeals documentation over to proprietary system and use data entry skills to enter additional appeals information into the appeals database.

Summary:
Handles written response to all incoming correspondence, appeals and complaints, from members and outside agencies. Creates weekly statistical reports and prepares Appeal Hearings folders.

Essential Functions:
Generates, processes, tracks and stores all requested correspondence (electronic and hard copy) related to appeal hearings. ? Sorts and files all generated correspondence. ? Triages and prepares per SOP appeal folders for review by Grievance and Appeals staff. Properly logs and tracks each appeal by type (provider or member). ? Triages and directs all incoming faxes through (Right Fax System or G&A database). ? Assists clinical staff with outbound faxing to providers/ODJFS. ? Performs data entry of member demographic and provider information updates. ? Prepares, files and stores hard copy folders that contain denial information. ? Responds to and completes requests for correspondence as appropriate. ? Sorts, stamps, counts and batches all incoming mail (including member correspondence, enrollments, etc.). ? May sort and distribute all incoming and interoffice/departmental mail and post outgoing U.S. mail and all certified and Express mail. Knowledge/Skills/Abilities: ? Working knowledge Microsoft Office or other comparable software ? Excellent analytical skills ? Demonstrated adaptability and flexibility to changes and response to new ideas and approaches ? Demonstrated problem solving and time management skills ? Demonstrated ability to meet established deadlines ? Excellent organizational, verbal and written communication skills ? Ability to abide by policies ? Ability to maintain attendance to support required quality and quantity of work ? Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) ? Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.

Additional Information

All your information will be kept confidential according to EEO guidelines.

Keywords: Integrated Resources Inc, Milwaukee , Appeals Clerk, Other , Milwaukee, Wisconsin

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Recruiting Specialist
Description: Careersamanda2020-02-18T20:00:28 00:00 Now Hiring Your New Career Starts Here At AmeriPro Roofing we make sure our employees are well taken care of. We recognize that their hard work and dedication (more...)
Company: American Dream Home Improvement
Location: Hoffman Estates
Posted on: 02/21/2020

Certified Medical Assistant
Description: We Are Hiring Certified Medical Assistant- Sheboygan GI Clinic - Part-Time,Day - Sheboygan,WI Hours will vary, depending on need. Monday - Friday only, no weekends or holidays. Why Join Ascension Ascension (more...)
Company: Ascension, C44
Location: Sheboygan
Posted on: 02/21/2020

Love's Hiring Day - Feb 25, 2020
Description: Love----s National Hiring Day Date: Tuesday, February 25th, 2020 Time:
Company: LOVE'S
Location: Sheboygan
Posted on: 02/21/2020


CDL A Truck Driver - Chicago
Description: CDL A Truck Drivers Needed We offer 100 paid health care, great home time and more Call 866-493-1907 to speak with a recruiter Join the Holland family
Company: Holland Regional Trucking
Location: Hoffman Estates
Posted on: 02/21/2020

Recruiter
Description: Careersamanda2020-02-18T20:00:28 00:00 Now Hiring Your New Career Starts Here At AmeriPro Roofing we make sure our employees are well taken care of. We recognize that their hard work and dedication (more...)
Company: American Dream Home Improvement
Location: Hoffman Estates
Posted on: 02/21/2020

RN-Med Surg Neuro
Description: .7 FTE NOC Shift Provides direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization. PRIMARY RESPONSIBILITIES Uses standards of medical-surgical (more...)
Company: St. Agnes Hospital
Location: Fond Du Lac
Posted on: 02/21/2020

Find plumbing jobs on Thumbtack. Sign up & start getting leads.
Description: Thumbtack has been trusted by plumbers across the country to help grow their business. Customers come to Thumbtack to get all kinds of jobs done, including plumbing pipe repair, plumbing drain (more...)
Company: Thumbtack
Location: Sheboygan
Posted on: 02/21/2020

RN-medical Surgical
Description: Provides direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization. PRIMARY RESPONSIBILITIES Uses standards of medical-surgical nursing practice (more...)
Company: St. Agnes Hospital
Location: Fond Du Lac
Posted on: 02/21/2020

Hair Stylist
Description: At Hair Cuttery, you are not just a Hairstylist you are a Salon Professional Salon Professionals provide guests with a world-class hair experience starting from the moment they step into our salons offering (more...)
Company: Hair Cuttery
Location: Hoffman Estates
Posted on: 02/21/2020

Class A CDL - Over-the-Road (OTR) Tanker Truck Driver
Description: Over-the-Road OTR Tanker truck drivers at Schneider travel the country and specialize in the safe transfer of bulk liquid chemicals - 2/3 of them non-hazardous. OTR Tanker truckers earn up to 0.52 (more...)
Company: Schneider
Location: Fond Du Lac
Posted on: 02/21/2020

Log In or Create An Account

Get the latest Wisconsin jobs by following @recnetWI on Twitter!

Milwaukee RSS job feeds