Appeals and Disputes Coordinator

$20 • Right To HireClerical & Administrative

Phoenix, AZ

Branch: Phoenix AZ Cle

Job ID: 25-25744

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M-F 8-5pm, will work 40 hours/week
Hybrid: can work fully remote or in office if they prefer. Not a requirement to be in office, but an option if they need assistance.

Program Specialist Job Description
This position acts as the primary point of contact for processing documents related to service reductions, reviewing, and coordinating all process activities with DES/DDD. This position will require critical thinking and the ability to determine if the documentation supports the requirements of the adverse benefit change.
Skills:
Ability to conduct research
Ability to understand, interpret, and apply Federal and State laws, statutes, rules, regulations, and policies
Ability to convey complex information in a written form in easily understood language, and is clear, concise, and supported by documentation.
Skill in analyzing, evaluating, and interpreting a variety of programmatic information.
Skill in problem-solving.
Effective oral and written communication
Work remotely and in the office as needed
Work independently and follow standard operating procedures
Training will be provided.
Experience: Experience is reviewing and analyzing documents/information
Qualifications:
High School Diploma or GED

Nesco Resource offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services.

Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
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