Job description

Position : Administrative Services Assistant

Location : Nashville, Tennessee

Working days: Mon-Fri

Job Description :

Job Title: Administrative Services Assistant

**This is a onsite position - only candidates in middle Tennessee and able to commute to Nashville, TN regularly will be considered.**

The standard work week is 37.5 hrs./wk.

Description of Duties (PROJECT-BASED)

• Appeal Processing: Documents appeals received in the appropriate tracking system, makes accurate initial appeal determinations within required timeframe by researching and analyzing each appeal request, reviews appeal decisions for accuracy, including identifying duplication, untimely requests, those afforded continuation of benefits and then referring to the appeal nurse reviewer, documents onsite evaluations in tracking system timely, responds to General Counsel questions, and provides any updates and documentation to appropriate parties. 30%

• Appeal Hearings: Ensures the hearing process is completed and documented in an accurate and timely manner by tracking hearing information in appropriate system, scheduling hearings by the required DOE date, completing all necessary hearing information fields within tracking system, sending Notice of Hearings to parties and documenting notice within system, reviewing for accuracy all ALJ/CD Order Review and implementation, referring all orders to appropriate manager and tracking within appropriate system, and tracking rescheduled and continued hearings. 30%

• Compliance: Ensures compliance with TennCare Rule and the DOE Consent Decree by

reviewing appeal notices for accuracy prior to mailing to applicant and/or designee and

external parties, reviewing denial notices for appropriate issuance, providing corrections and mailing correction letters by required deadline and tracking within LTSS system, and ensuring all appeal resolutions are processed accordingly. 25%

• Reporting: Manage and provide all applicable reports for the LTSS Operations Appeals Unit to internal and external teams, as appropriate. Respond to questions and concerns around reports. 15%

• Graduation from an accredited college or university with a bachelor’s degree or graduation from an accredited college or university with an associate’s degree and two years of qualifying professional experience

• Excellent verbal and written communications skills

• Proven technical skills (e.g. Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.)

• Excellent time management skills and ability to multi-task and prioritize work in order to meet specific timeframes and deadlines with minimal supervision

• Keen attention to detail and adherence to deadlines

• Organization

• Self-motivated and able to thrive in a fast-paced and results-driven environment

• Critical thinking and problem-solving skills

Job Type: Contract

Salary: Up to $31.00 per hour

Schedule:

• 8 hour shift

Ability to commute/relocate:

• Nashville, TN 37228: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Administrative Assistant (Preferred)

Work Location: One location

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