<p>We are seeking an Appeals Litigation LEGAL ASSISTANT Representative for the Appeals Operations Group within Member Services. The Appeals Litigation LEGAL ASSISTANT Representative will work to resolve appeals prior to hearing by identifying appeals that are prime for outreach, conducting outreach to explain the position of the state or obtain further information to assist in the processing of appeals. The Appeals Litigation LEGAL ASSISTANT Representative will document actions in TEDS (& other systems) when necessary. Additionally, the Appeals Litigation LEGAL ASSISTANT Representative will ensure that due process standards are met in Medicaid appeals by the accurate and timely processing of appeals and all appeals related documents. Finally, the Appeals Litigation LEGAL ASSISTANT Representative will also work collaboratively with management to identify workflow issues and accomplishments. Key Responsibilities: • Ability to maintain a high-volume caseload and adhere to the timeliness standard of appeals while conducting the due process review. • Assist in the achievement of a high performing and positive work environment that will promote the TennCare Mission. • Daily receives and reviews appeals for potential resolution within policy guidelines. If a resolution cannot be found, make outreach. • Conduct outreach to explain the state's actions related to TennCare Medicaid programs and coordinate with other staff for the prompt resolution of appeals where necessary. • Demonstrates attention to detail in researching appeal cases and documenting notes for proper case processing. Attends and actively participates in all unit meetings and problem-solving discussions for workflow improvements. Ability to navigate TEDS. Minimum Qualifications: Education and Experience: Graduation from an accredited college or university with a bachelor's degree in a related field (preferred degree in business administration, management, public health, health policy, paralegal, or legal assistant studies) and 2 years of relevant work experience. OR an equivalent combination of education and work experience may be considered. • Ability to foster and maintain cohesive working relationships • Ability to adapt to changing priorities and deadlines • Ability to exercise sound judgment • Strong organizational skills necessary, including the ability to prioritize, multi-task and manage workload to meet specific time frames and deadlines • Advanced writing and communication skills</p>
<p> In this role, you will provide essential back-office support, including reprographics, mail services, and other operational tasks, while ensuring high-quality service delivery. This position requires a proactive individual who thrives in a fast-paced environment and is committed to maintaining client satisfaction.</p><p><br></p><p>Responsibilities:</p><p>• Perform reprographics tasks, mail handling, and intake functions following established procedures.</p><p>• Utilize appropriate logs to track office services work and ensure accurate job ticket completion before starting tasks.</p><p>• Troubleshoot and resolve basic equipment issues, escalating complex problems to supervisors when necessary.</p><p>• Load and maintain machines with paper, toner, and other supplies while adhering to cost-efficient practices.</p><p>• Maintain quality assurance by reviewing your work and that of others to meet high standards.</p><p>• Prioritize and manage workflow to meet deadlines and deliver completed projects on time.</p><p>• Communicate effectively with supervisors or clients regarding project updates, deadlines, or any arising issues.</p><p>• Follow organizational policies and site-specific guidelines to ensure compliance in all tasks.</p><p>• Handle sensitive and confidential documents with discretion and professionalism.</p><p>• Provide assistance in other service areas such as hospitality, reception, and audio/visual support as needed.</p>
