Appeals Specialist

About Capitol Bridge

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

Capitol Bridge Inc. isseekinga highly skilled and detail-orientedAppeals Specialistto join our team. This role involves reviewing applications and supporting documentation, resolving discrepancies, managing financial records, and ensuring compliance with program guidelines. The ideal candidate willpossessstrong analytical and organizational skills,a high levelof accuracy, andproficiencyin Microsoft Office tools.

Location:On-Site in Columbia, South Carolina

Pay and Benefits:

Base Rate: $18.00/hr

Medical, Dental, and Vision benefits available

401(k) available with company match

Paid holidays

Paid Vacation Time

JobResponsibilities:

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  Review and evaluate appeals, applications, and supporting documentation for accuracy and completeness.

  
  

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  Identifyand resolve discrepancies in records, including financial transactions and eligibility determinations.

  
  

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  Maintainaccurateand organized records of client information, application files, and payment data.

  
  

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  Communicate with clients to clarify information, request missing documentation, and provide updates.

  
  

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  Reconcile payments, track refunds, and ensure alignment with internal records and customer accounts.

  
  

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  Prepare detailed reports and summariesin accordance withprogram or agency requirements.

  
  

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  Stay current with changes in program rules, policies, and procedures.

  
  

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  Ensure compliance with internal protocols and regulatory standards.

  
  

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  Participate in training and ongoing professional development.

  
  

Qualifications & Experience:

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  High school diploma or equivalent required.

  
  

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  1+ years of experience in administrative, financial, or case management roles preferred.

  
  

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  Strong organizational and time management skills.

  
  

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  Exceptional attention to detail and accuracy.

  
  

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  Ability to manage multiple tasks and adapt in a fast-paced environment.

  
  

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  Excellent interpersonal, written, and verbal communication skills.

  
  

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  Proficientin Microsoft Excel, Outlook, and SharePoint.

  
  

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  Strong problem-solving and analytical skills.

  
  

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  Ability to handle confidential information with discretion.

  
  

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  Adherence to ethical business standards and program security requirements.

  
  

Reasonable Accommodation

If you require alternative 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.