Appeals Coordinator
About The Position
As an Appeals Coordinator, you will represent the customer, the Louisiana Department of Health (LDH) Office of Aging and Adult Services (OAAS), in defending eligibility decisions by appearing before the Division of Administrative Law (DAL) in appeal hearings with presentations of summaries of evidence. In this remote role, you will review decision/denial letters on new appeals requests received, research data and materials to accumulate evidence, draft and prepare summary of evidence (SOE) files, and upload final SOE files to the DAL SharePoint site. You will also monitor deadlines to ensure timely submission of SOE files and hearing status reports, collaborate with internal departments as needed to gather information needed to complete appeal files, and participate in the quality assurance (QA) process of Long Term-Personal Care Services (LT-PCS) eligibility decisions. You will conduct appeals hearings over the phone with the Division of Administrative Law.
Requirements
- Bachelor’s degree in health and human services, social work, sociology, psychology, or a related field.
- Quality communication skills, both oral and written.
- Desire to work with the public.
- Be a Louisiana resident.
Nice To Haves
- Experience in health-related social and/or human services.
- Experience working with older adults or individuals with disabilities.
Responsibilities
- Represent the customer, the Louisiana Department of Health (LDH) Office of Aging and Adult Services (OAAS), in defending eligibility decisions by appearing before the Division of Administrative Law (DAL) in appeal hearings with presentations of summaries of evidence.
- Review decision/denial letters on new appeals requests received.
- Research data and materials to accumulate evidence.
- Draft and prepare summary of evidence (SOE) files.
- Upload final SOE files to the DAL SharePoint site.
- Monitor deadlines to ensure timely submission of SOE files and hearing status reports.
- Collaborate with internal departments as needed to gather information needed to complete appeal files.
- Participate in quality assurance (QA) process of Long Term-Personal Care Services (LT-PCS) eligibility decision.
- Conduct appeals hearing over the phone with division of administrative law.
Benefits
- Health and Welfare Benefits
- Retirement Savings
- Employee Discounts
- Career Growth Opportunities
- Paid Training
- Paid time off
- Health insurance coverage
- Voluntary dental and vision programs
- Life and disability insurance
- A retirement savings plan
- Paid holidays
- Paid time off (PTO) or vacation and/or sick time
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
