Appeals Coordinator

Conduent•Baton Rouge, SC

1d•$17 - $22•Hybrid

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, participate in the quality assurance (QA) process of Long Term-Personal Care Services (LT-PCS) eligibility decisions, and conduct appeals hearings over the phone with the Division of Administrative Law.

Requirements

Have a bachelor’s degree in health and human services, social work, sociology, psychology, or a related field.
Demonstrate quality communication skills, both oral and written.
Show a desire to work with the public.
Be a Louisiana resident.

Nice To Haves

Have experience in health-related social and/or human services.
Have experience working with older adults or individuals with disabilities.

Responsibilities

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 file
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