Talent.com
Appeals Specialist
Appeals SpecialistRegional Center of the East Bay • Concord, CA, US
Appeals Specialist

Appeals Specialist

Regional Center of the East Bay • Concord, CA, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

SALARY RANGE : $3,380.16– $4,994.04 Bi-weekly; $87,884.16- $129,845.04 Annual

REPORTS TO : Compliance Manager

The Regional Center of the East Bay (RCEB) is one of 21 Regional Centers that are community-based, private non-profit corporations under contract with the California Department of Developmental Services. RCEB provides intake, assessment, diagnosis, and coordinates community-based services for over 25,000 children and adults with developmental disabilities in Alameda and Contra Costa counties.

RCEB envisions a future where persons with developmental disabilities are truly a part of the community. Persons with developmental disabilities receive supports and services they need to succeed. The supports and services change as the need changes.

In our dream, children with developmental disabilities live with families in typical communities. Many choose to attend their neighborhood schools and play with neighborhood friends. Adults with developmental disabilities live in the residence of their choice – with family members, with friends, or with their spouse / significant other. They engage in activities of their choice – work, volunteering, education, training, or leisure. They have meaningful relationships with friends and coworkers and are seen as valuable, contributing members of their communities.

Overview :

The Appeals Specialist is responsible for representing the Regional Center of the East Bay at all mediations and formal fair hearings as outlined in the Lanterman Developmental Disabilities Act and Early Intervention services Act.

Specific Duties :

  • Consultation with Case Management supervisors regarding potential consumer requests for fair hearing.
  • Coordination with assigned support staff in scheduling various meetings and hearings.
  • Interaction, as appropriate, with the Office of Administrative Hearings
  • Review and consultation with Case Management supervisors on consumer requests for an informal meeting.
  • Consultation with Director of Consumer Services regarding requests / response for mediation.
  • Consumer record review and preparation of documents, witnesses and presentation from mediation.
  • Consumer record review and preparation of documents, witnesses and presentation for formal fair hearing
  • Semi-annual reporting to the Director of Consumer Services regarding nature and outcome of due process activities.
  • Case management staff training on Fair Hearing process
  • Other activities as assigned.

Minimum Qualifications :

  • Bachelors of Arts or Science degree in Political Science or Sociology or Criminology.
  • Demonstrated experience in a legal environment.
  • Experience in the developmental disabilities system, preferably regional center, preferred.
  • Excellent written and verbal communication skills required. Basic computer skills required.
  • Excellent organizational skills required, including ability to plan a course of action and follow through in a timely manner.
  • Automobile, valid CDL, and insurance.
  • Demonstrate cultural awareness and sensitivity and an ability to work effectively with culturally diverse populations.
  • Benefits :

    At the Regional Center of the Easy Bay, we offer a full spectrum of competitive benefits including :

  • 3 weeks paid vacation + 12 sick days
  • 13 paid holidays + 3 floating holidays
  • Multiple options for medical care (including Kaiser at 100% employer paid for employee)
  • Dental and vision plans
  • CalPERs Retirement (pension),
  • Student Loan Forgiveness
  • Flex schedule, if applicable
  • Work at Home schedules, if applicable
  • Employee Assistance Program, including mental health care
  • The Public Service Loan Forgiveness program is a federal program that forgives student loan debt for nonprofit employees after 120 qualifying payments. Employees who work at least 30 hours per week for a governmental, 501(c)(3) nonprofit, or other qualifying nonprofit organization may apply to have the balance of their student loans forgiven (tax free) after making 120 monthly payments.
  • Regional Center of the East Bay (RCEB) does not discriminate against job applicants on account of race, color, creed or religion, national origin including language use restrictions, sex, gender, gender identity or expression, age, sexual orientation, marital status, physical or mental disability, medical condition or HIV / AIDS status, political affiliation, military or veteran status, genetic characteristics, or ancestry.

    Create a job alert for this search

    Specialist • Concord, CA, US

    Related jobs
    LeadStack Inc. is hiring : Audience Acquisition Specialist in Pleasanton

    LeadStack Inc. is hiring : Audience Acquisition Specialist in Pleasanton

    Mediabistro • Pleasanton, CA, United States
    Full-time
    Audience Acquisition Specialist.Your work days are brighter here.At Client, it all began with a conversation over breakfast. When our founders met at a sunny California diner, they came up with an i...Show more
    Last updated: 30+ days ago
    Jurisdictional Specialist

    Jurisdictional Specialist

    FM • LIVERMORE, California, United States
    Full-time
    FM - San Francisco Operations, is currently accepting applications for a Jurisdictional Consultant in the State of California. This position is primarily responsible for conducting in-service inspec...Show more
    Last updated: 27 days ago • Promoted
    Fulfillment Specialist (Contract)

    Fulfillment Specialist (Contract)

    Color Health • Burlingame, CA, United States
    Full-time
    Color Health is revolutionizing cancer care with the nation's first Virtual Cancer Clinic, delivering high-quality, physician-led multidisciplinary care across all 50 states.Our innovative, guideli...Show more
    Last updated: 20 days ago • Promoted
    Remote Commercial Banking Analyst - AI Trainer

    Remote Commercial Banking Analyst - AI Trainer

    Data Annotation • Brentwood, California
    Remote
    Full-time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...Show more
    Last updated: 30+ days ago • Promoted
    Contract Operations Specialist

    Contract Operations Specialist

    VirtualVocations • San Francisco, California, United States
    Full-time
    A company is looking for a Contract Operations Specialist.Key Responsibilities Manage intake and assist with projects related to contract operations Communicate with Care Delivery Organizations ...Show more
    Last updated: 2 days ago • Promoted
    Complaint Escalation Specialist

    Complaint Escalation Specialist

    Qcells • San Francisco, CA, US
    Full-time
    We are seeking a Complaint Escalation Specialist to join our Risk Team and serve as a key point of contact for customers who have concerns about their financial agreements.In this role, you will wo...Show more
    Last updated: 30+ days ago
    Claims Specialist

    Claims Specialist

    VirtualVocations • Hayward, California, United States
    Full-time
    A company is looking for a Claims Specialist responsible for managing escalated and complex claims cases in a timely manner. Key Responsibilities Handle escalated and complex claims cases, ensurin...Show more
    Last updated: 30+ days ago • Promoted
    Insurance Claims Specialist

    Insurance Claims Specialist

    VirtualVocations • Fremont, California, United States
    Full-time
    A company is looking for an Insurance Claims Specialist - HB.Key Responsibilities Submits accurate and timely claims to third party payers Resolves claim edits and account errors prior to claim ...Show more
    Last updated: 30+ days ago • Promoted
    Recruiting Ops Specialist

    Recruiting Ops Specialist

    Cypress HCM • San Francisco, CA, US
    Full-time
    As a RecOps Specialist, you’ll be responsible for maintaining the health of our recruiting systems and workflows.You’ll triage inbound requests, ensure processes are documented and up t...Show more
    Last updated: 12 days ago • Promoted
    Claims Specialist - Crop

    Claims Specialist - Crop

    QBE Insurance • San Francisco, CA, US
    Full-time +1
    At QBE, we are always looking to connect with top talent for current vacancies as well as for future opportunities.It is our aim to continuously build a strong candidate pipeline across all our bu...Show more
    Last updated: 30+ days ago • Promoted
    Grievance Appeals Specialist

    Grievance Appeals Specialist

    VirtualVocations • Oakland, California, United States
    Full-time
    A company is looking for a Grievance & Appeals Specialist II to support TRICARE Prime Demo by enhancing healthcare access for the military community. Key Responsibilities Review and validate appea...Show more
    Last updated: 10 hours ago • Promoted • New!
    Negotiations Specialist

    Negotiations Specialist

    TradeJobsWorkForce • 94151 San Francisco, CA, US
    Full-time
    Negotiations Specialist Job Duties : Call providers, navigate call trees to get to the right people Negoti...Show more
    Last updated: 30+ days ago • Promoted
    Proposal Development Specialist

    Proposal Development Specialist

    PG Forsta • Emeryville, CA, United States
    Full-time
    PG Forsta is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understan...Show more
    Last updated: 25 days ago • Promoted
    Workers Compensation Claims Specialist

    Workers Compensation Claims Specialist

    VirtualVocations • Fremont, California, United States
    Full-time
    A company is looking for a Workers Comp Claims Representative.Key Responsibilities Maintain a queue of Workers' Compensation accounts and ensure timely claims processing Contact relevant parties...Show more
    Last updated: 30+ days ago • Promoted
    Appeals and Grievances Specialist

    Appeals and Grievances Specialist

    VirtualVocations • San Francisco, California, United States
    Full-time
    A company is looking for a Specialist, Appeals & Grievances.Key Responsibilities Facilitates research and resolution of appeals, grievances, and complaints from members and providers Researches ...Show more
    Last updated: 30+ days ago • Promoted
    A / R Follow Up Specialist

    A / R Follow Up Specialist

    VirtualVocations • Concord, California, United States
    Full-time
    A company is looking for an AR Follow Up Specialist to manage unresolved insurance claims and ensure timely payments.Key Responsibilities Follow up on unresolved claims and check claim status wit...Show more
    Last updated: 30+ days ago • Promoted
    Elections Support Specialist

    Elections Support Specialist

    Tryfacta • Pleasanton, CA, US
    Full-time
    Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private & public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Professional...Show more
    Last updated: 30+ days ago • Promoted
    Recruiter (Behavioral Health)

    Recruiter (Behavioral Health)

    Vaco by Highspring • Belvedere, California, United States
    Temporary
    Full-Cycle Recruiter – Behavioral Health.Fully Remote (Must be based in Los Angeles, CA for occasional on-site needs).We are seeking an experienced and motivated. Manage full-cycle recruitment for c...Show more
    Last updated: 30+ days ago • Promoted
    Subrogation Specialist

    Subrogation Specialist

    VirtualVocations • San Francisco, California, United States
    Full-time
    A company is looking for a Subrogation Specialist to manage collections and resolve disputed invoices.Key Responsibilities : Collect outstanding balances and provide necessary documentation Negot...Show more
    Last updated: 30+ days ago • Promoted
    Accounts Payable Specialist

    Accounts Payable Specialist

    Vaco by Highspring • Belvedere, California, United States
    Full-time
    Accounts Payable Specialist who will be responsible for payments and controlling expenses by receiving, processing, verifying, and reconciling invoices. This role is hybrid in Concord, CA and can pa...Show more
    Last updated: 30+ days ago • Promoted