Appeals Clerk

divh2Appeals Clerk/h2pstrongJob Title:/strong Appeals Clerk/ppDuration: 3+ months contract/ppLocation: Milwaukee, Wisconsin 53224/ppShift: 8:00AM to 5:00PM/ph3Job Description/h3pNeed 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./ppEssential Functions:/pulliGenerates, processes, tracks and stores all requested correspondence (electronic and hard copy) related to appeal hearings./liliSorts and files all generated correspondence./liliTriages and prepares per SOP appeal folders for review by Grievance and Appeals staff./liliProperly logs and tracks each appeal by type (provider or member)./liliTriages and directs all incoming faxes through (Right Fax System or GA database)./liliAssists clinical staff with outbound faxing to providers/ODJFS./liliPerforms data entry of member demographic and provider information updates./liliPrepares, files and stores hard copy folders that contain denial information./liliResponds to and completes requests for correspondence as appropriate./liliSorts, stamps, counts and batches all incoming mail (including member correspondence, enrollments, etc.)./liliMay sort and distribute all incoming and interoffice/departmental mail and post outgoing U.S. mail and all certified and Express mail./li/ulpKnowledge/Skills/Abilities:/pulliWorking knowledge Microsoft Office or other comparable software/liliExcellent analytical skills/liliDemonstrated adaptability and flexibility to changes and response to new ideas and approaches/liliDemonstrated problem solving and time management skills/liliDemonstrated ability to meet established deadlines/liliExcellent organizational, verbal and written communication skills/liliAbility to abide by policies/liliAbility to maintain attendance to support required quality and quantity of work/liliMaintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)/liliAbility to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers./li/ulh3Additional Information/h3pAll your information will be kept confidential according to EEO guidelines./p/div