Appeals Specialist Team Lead

About Capitol Bridge

Founded in 2012, Capitol Bridge is based in Arlington, Virginia andhasprovenexpertiseproviding independent medical reviews, records/data management services, medical coding, administrativestaffingand eligibility reviews.

Capitol Bridge Inc isseekinga highly skilled and detail-orientedAppealsSpecialistTeam Leadto joinourteam. Thespecialistwillbe responsibleforleadinga team of Eligibility Specialist.The ideal candidate has a strong understandingofteam management,leadershipskills, and a keen eye for detail.

Location: Onsite, Columbia, SC

Pay and Benefits:

Base Rate:$21.00/hr

Medical, Dental, and Vision benefits available

401(k) available with company match

Paid holidays

Paid Vacation Time

Job Responsibilities:

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  Overseeing team workflows

  
  

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  Responsible for quality control checks of their respectiveteams'workflows

  
  

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  Meeting with management to discuss and resolve concerns

  
  

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  Assign disputes/workflows as needed to team members

  
  

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  Evaluating applications and supporting documentation to assess eligibility for programs or benefits.

  
  

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  Identifyingmissing or incomplete information and requestingneeded information.

  
  

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  Reviewing all documentation for completeness and accuracy.

  
  

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  Verifying the accuracy of information provided by applicants.

  
  

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  Maintainingaccurateand organized records of client information and application files.

  
  

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  Render defaults and dismissing disputes that are not eligible.

  
  

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  Preparing reports and summaries as required by the program or agency.

  
  

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  Staying informed about changes in program rules, policies, and guidelines.

  
  

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  Participating in training and continuing education tomaintainrelevant knowledge.

  
  

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  Other duties as assigned

  
  

Qualifications & Experience:

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  High school diploma or equivalent required,1+ years in case management and customer service preferred

  
  

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  1+ years of team management preferred.

  
  

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  Excellent organizational skillsrequired.

  
  

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  Attention to detail and the ability tomaintainaccuracy arerequired.

  
  

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  Ability to multi-task, be flexible, and work in afast-paced environment.

  
  

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  Excellent interpersonal skills, writing, and verbal communication skills.

  
  

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  Must be able to handle confidential information and materials inan appropriate manner.

  
  

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  Strong Microsoft Officeproficiencyin Excel, Outlook, and SharePointrequired.

  
  

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  Strong problem-solving skills arerequired.

  
  

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  Adheres to ethical business standards and practices.

  
  

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  Comply withprogram security requirements.

  
  

Reasonable Accommodation

If yourequirealternative methods of application or screening, you must approach the employer directly to request this.To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or abilityrequired. Reasonableaccommodationsmay be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.

EEO Statement

Capitol Bridge, Inc. is an Equal Opportunity Employer. All employment decisions at Capitol Bridge are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.

Texting Notice

We communicate with applicants by text in addition to email and phone.If you apply for this position, we may text you about this position, your application for the position, or other things relevant tothis jobposition.If we text you and you no longer want us to text you, you can opt-out at that time.