Appeals Coordinator

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments — creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference, and be part of a culture where individuality is noticed and valued every day.

About the role

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. This is a remote role.

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, and 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 required to complete appeal files.
• Participate in the quality assurance (QA) process of Long Term-Personal Care Services (LT-PCS) eligibility decisions.
• Conduct appeals hearings over the phone with the Division of Administrative Law.

We will teach you how to:

• Prepare summaries of evidence.
• Prepare for appeals.
• Document required reporting for the position.
• Utilize SharePoint.

We will also help you get IHC Certified with the LA Department of Health and Hospitals.

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.
• Louisiana resident.

Preferred Qualifications

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

Schedule

This is a remote work position. Work in a way that allows you to work from home and also have time onsite (when needed) to connect with other team members and business leaders.

Pay

The estimated hourly rate for this role is $17–$21.50.

Benefits

• Health and Welfare Benefits: Benefits can be tailored to fit you and your family’s needs and start on the first day of employment.
• Retirement Savings: Support as you save for your future.
• Employee Discounts: Access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more.
• Career Growth Opportunities: Opportunities to advance your career with a vast portfolio of businesses and a global footprint.
• Paid Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career.
• Paid Time Off: Attractive paid time off packages designed for you to enjoy your life away from work.