Eligibility Appeal Agent- Education Requirements
Company: American Registry of Radiologic Technologists
Location: Saint Paul
Posted on: May 23, 2023
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Job Description:
Job Type
Full-time
Description
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
Education Requirements
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.
Miscellaneous
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.
Requirements
Education
High School Diploma or equivalent is required.
Associates degree or higher is preferred.
Experience
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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