Eligibility Appeal Agent- Education Requirements
Company: American Registry of Radiologic Technologists
Location: Saint Paul
Posted on: May 23, 2023
The American Registry of Radiologic Technologists (ARRT) seeks a detail-oriented investigator with experience in claims or compliance to support our mission and to join our team as Eligibility Appeal Agent .
As the Eligibility Appeal Agent, you'll be an essential part of the education requirements team responsible for the administration of obtaining or maintaining certification and registration compliance of over 350,000 registrants. You will administer and process non-ethics related appeals filed by our customers. Using your case management or claims investigations expertise, you'll ensure eligibility appeal process compliance with policies and procedures. You'll also:
Key Duties and Responsibilities
1. Serve as an investigator for eligibility appeals in Education Requirements.
2. Review, evaluate, and track eligibility appeal request forms.
3. Assemble appropriate information and facts regarding appeals.
4. Prepare necessary documentation, including statistical analyses and reports.
5. Ensure eligibility appeal process compliance with policies and procedures.
6. Prepare and discuss data and findings with management.
7. Identify areas of process improvement and provide recommendations for improvement.
8. Make strategic recommendations and participate in strategic planning regarding the appeals process.
9. Monitor FEMA for natural disasters to coordinate flagging accounts in database and updating customer dashboards as necessary.
10. Assist with tracking compliance and reporting information for NCCA regarding eligibility appeals.
Education Requirements Departmental Support
1. Serve as backup for test center coordination responsibilities.
2. Support the eligibility appeal administrator.
3. Serve as a resource to assist other staff.
4. Contribute to training and development of teams to guide continuous improvements.
1. Model and embrace ARRT's commitment of providing world class customer service and collaboration, especially via communications with internal customers in response to questions or data in both verbally and in writing.
2. Participate in ongoing learning activities to improve job performance (e.g., goals, development plans, software training).
3. Communicate and collaborate with other staff members in a culture of continuous quality improvement.
4. Perform other duties as assigned.
High School Diploma or equivalent is required.
Associates degree or higher is preferred.
2+ years of directly related experience in case management, claims adjusting, investigations, litigation, and/or risk management is required.
Policy administration experience is preferred.
Metrics analysis and data presenting experience is preferred.
Skills and Abilities
Adaptable: Adaptable to changing needs of the position, department or organization.
Attention to Detail: Thorough in accomplishing a task focusing on all the areas involved, no matter how large or small. Monitors and checks work or information and plans and organizes time and resources efficiently.
Computer skills-Intermediate: Skill in the use of databases, personal computers, Microsoft Office, and related software applications.
Decision Making: Identifying options, gathering information about their suitability, taking into account conflicting priorities and constraints, then using this information systematically in choosing the optimum course of action. Knowing what to do based on the information available. Responding quickly and effectively.
Documentation: Direct the development and maintenance of systems, records, and legal documents that provide for the proper evaluation, control, and documentation of operations.
Job-Focused Learning: Demonstrates desire to acquire necessary technical knowledge, skills, and judgment to accomplish a result or to serve a customer's needs effectively. Has desire and drive to acquire knowledge and skills necessary to perform the job more effectively.
Multi-Task: Performs multiple tasks at one time.
Problem Solving/Analytical Thinking: Builds a logical approach to address problems or opportunities or manage the situation at hand by drawing on own knowledge and experience base and calling on other references and resources as necessary. Undertakes a complex task by breaking it down into manageable parts in a systematic, detailed way. Anticipates the consequences of situations. Thinks of several possible explanations or alternatives for situations.
Proofreading/editing skills: Requires solid knowledge of appropriate spelling, punctuation, and grammar usage.
Reliable: Reports to work on time as scheduled.
Understand and Follow Procedures: Ability to understand and follow instructions and written procedures.
Demonstrated detail orientation and strong analytic skills are preferred.
Review a full job description which includes additional information on core competencies and physical demands. This fulltime position has a regular schedule of Monday-Friday 8:00am-4:30pm. It is considered hybrid with a minimum of 1-2 days per week onsite at our office in Mendota Heights, Minnesota.
The American Registry of Radiologic Technologists (ARRT) is the world's largest organization offering credentials in medical imaging, interventional procedures, and radiation therapy. We certify and register technologists in a range of disciplines by overseeing and administering education, ethics, and examination requirements. Visit www.arrt.org for more information.
Keywords: American Registry of Radiologic Technologists, St. Paul , Eligibility Appeal Agent- Education Requirements, Education / Teaching , Saint Paul, Minnesota
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