Appeal Reviewer and Processor Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4847615) Apply  Appeal Reviewer and Processor Salary $23.28 - $34.23 Hourly Location Des Moines - 50319 - Polk County, IA Job Type Temporary Job Number 25-02424 Agency 400 Health & Human Services -Compliance Opening Date 02/25/2025 Closing Date 3/7/2025 11:59 PM Central LinkedIn Tag #LI-DNP Point of Contact Denise Dutton - denise.dutton@hhs.iowa.gov + Description + Questions Job Description The Iowa Department of Health and Human Services (HHS), Division of Compliance, Bureau of Appeals and Administrative Rules is seeking a Appeal Reviewer and Processor to join our team! HHS is looking for a temporary employee to review and process incoming appeals to ensure cases are processed in a timely manner based on the Department's administrative rules and program requirements. Any person or group of persons has the right to appeal a HHS decision and to ask for an appeal hearing. No one may interfere with the person’s right to file an appeal. However, this does not guarantee that an appeal hearing will be granted. The Appeals Bureau is responsible for processing all appeals that are received and determining if the appeal is eligible for an appeal hearing. Once it is determined all of the requirements are met for a hearing, complete appeal files are certified to the Department of Inspections, Appeals and Licensing (DIAL) who is responsible for scheduling and holding the hearings. Responsibilities: Reviews and processes appeals for a variety of programs administered by HHS. Determines the program and subprogram being appealed, county of residence of the appellant, worker name, worker number and the date the appeal was filed. Obtains case number and state identification number from system databases. Obtains copies of notices of decision (NOD) or notices of action (NOA) from electronic case files; or determines if the notice is not available. Determines parties, legal representatives and addresses for each appeal. Works to obtain an authorized representative's signature, when needed. Determines if special needs, including translation/interpretation services are needed. Determines what documents need to be generated for all parties to the appeal and the appeal file. Logs new appeals into the Appeals Information System (AIS). Enters specialized information on appellant, appeal and parties to each appeal, based on varying program requirements. Screens addresses through the US Postal System to determine accuracy prior to mailing. Enters special needs information, such as translation into another language, large print, or Braille documents, notations into system. Coordinates with local offices to ensure interpretation services are arranged for the hearing. Notifies staff of process for handling parties who are unauthorized representatives. Forwards documents from an electronic document repository into the appropriate record in AIS. Generates documents for each appeal file including acknowledgment letters and memos to workers that instruct staff how to handle specific cases. Coordinates with staff in the work unit to issue all correspondence in appellant's native language. Notifies internal and external parties by mail and/or email when new correspondence is generated. Reviews each appeal for timeliness based on specific administrative rules governing when appeals are filed for each program area. Reviews each appeal to determine if an adverse action exists that can be appealed. Determines issues to be heard based on Department's rules and policies. Develops new issues as needed. Tracks and records on AIS all files that need notices. Certifies appeals to the Department of Inspections, Appeals and Licensing (DIAL) for hearing. Denies appeals that are untimely or do not meet the requirements for hearing. Issues correspondence for appeals when a hearing is denied. Ensures all parties are notified. Makes appropriate entries to close files on AIS. Reviews good cause requests on untimely filed appeals requests, granting or denying the hearing based on administrative rules. For cases certified for hearing, ensures issue codes, parties, NODs and time frames are reviewed and coded correctly. Represents the Department at hearings for actions in which the appellant is appealing the denial of an appeal due to late filing. Researches and prepares appeal summaries regarding the late filing of the appeal. Provides consultation on the appeals process. Answers questions from staff related to appeal policies and procedures during all phases of the appeals process. Provides information to DIAL regarding appeal procedures and interfaces with the Attorney General's Office or Compliance Division Attorney and the field as necessary. Updates AIS with worker information. Answers questions on policies and procedures from appellants, attorneys, Administrative Law Judges, providers or other representatives on appeals policy and procedures during the appeals process. Performs duties as assigned to ensure timely and efficient processing of appeals for the Department. Reviews the legal and policy basis to ensure timely and efficient processing of appeals. Identifies changes in federal and state statutes, and regulations that may affect appeal policy. Updates issue codes. Performs other duties as assigned, including covering work of other members of the unit as needed. Benefits Working for the State of Iowa comes with its perks. In addition to a competitive salary, you'll enjoy a comprehensive benefits package designed to support your well-being and professional growth: + Health, Dental, and Vision Coverage:Health and dental insurance packages to keep you and your family healthy at a low cost with outstanding coverage! + Paid Time Off:Take time to recharge with paid time off, including vacation (96 hours/year to begin, increasing with years of service), sick leave (144 hours/year), and paid holidays (9 days/year). + Retirement Plans:Participate in retirement plans such as IPERS (employees contribute 6.29% and the State of Iowa contributes 9.44%) as well as our Retirement Investors Club (RIC), Employer Sponsored Retirement Plan (the State of Iowa matches dollar for dollar up to $75/month). + Flexible Spending Accounts:Take advantage of flexible spending accounts for medical and dependent care expenses. + Insurance Coverage:Benefit from life insurance and free long-term disability insurance for added peace of mind. + Employee Assistance Program:Access resources and support through our Employee Assistance Program for personal and professional challenges. + Employee Discount Programs:Enjoy discounts on a variety of goods and services through our employee discount programs. For additional information on benefits click here. Click hereto see how we compare with other employers or offers by using our Total Compensation Calculator. Background Checks Applicants will be required to complete a background check to be considered for this position. The State of Iowa is an EEO/AA Employer HHS values those with “lived experience” and encourages adults who were fostered as youth, foster parents, and/or parents who were in the DHS system to apply. Minorities, women, persons with disabilities and veterans are encouraged to apply (Hearing and Speech Impaired – Relay Iowa 1-800-735-2942 TDD). Our agency uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify. This is a temporary non-merit position for the Iowa Department of Health & Human Services -Compliance. Minimum Qualification Requirements Applicants must meet at least one of the following minimum requirements to qualify for positions in this job classification: + Graduation from an accredited four-year college or university with a bachelor's degree in any field, and experience equal to one year of full-time administrative support (e.g., screening visitors and callers; opening/distributing mail, typing/proofing documents, letters, and reports; organizing files; scheduling meetings/appointments; arranging travel; processing travel claims; ordering supplies/equipment) or technical support work (e.g., determining budget, personnel, and equipment needs; compiling/evaluating statistical, historical, economic, business, financial or technical program data; interpreting or securing compliance with laws, rules and regulations; reviewing operating records/reports and evaluating their effectiveness). + A total of five years of education and/or full-time experience (as described in number one) where thirty semester hours of accredited college or university course work in any field equals one year of full-time experience. + Current, continuous experience in the state executive branch that includes experience equal to 12 months of full-time work as an Administrative Assistant 1. For additional information, please click on this link to view the job description (https://das.iowa.gov/sites/default/files/hr/documents/class\_and\_pay/JobClassDescriptions/AdministrativeAssistant2-00709-90709.pdf) . 01 Do you understand that the answers to all of the following questions must be truthful, honest, and accurate to the best of your ability? Please read all questions and answers thoroughly and make sure you understand them completely.Ensure the answers to your questions match the information filled out on your application and the attachments you have uploaded. If the answers to your questions are inconsistent with your application information or uploaded attachments, you will be given zero points for the question.Knowingly misrepresenting the facts when submitting any information related to an application, examination, certification, appeal, or any other facet of the selection process will result in your disqualification from this application and future employment with the state of Iowa. + Yes - I understand and agree. + No 02 PLEASE READ CAREFULLY Have you filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq? + No - I have NOT filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq + Yes - I HAVE filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq 03 Have you graduated from an accredited four-year college or university with a bachelor's degree in any field? IF YES - How many months of experience do you have of full-time administrative support (e.g., screening visitors and callers; opening/distributing mail, typing/proofing documents, letters, and reports; organizing files; scheduling meetings/appointments; arranging travel; processing travel claims; ordering supplies/equipment) or technical support work (e.g., determining budget, personnel, and equipment needs; compiling/evaluating statistical, historical, economic, business, financial or technical program data; interpreting or securing compliance with laws, rules and regulations; reviewing operating records/reports and evaluating their effectiveness)? + I have not graduated from an accredited four-year college or university with a bachelor's degree in any field + Less than 12 months of the administrative support work identified + 12 months or more of the administrative support work identified 04 How many years do you have of a combination of post high school education in any field AND/OR full-time administrative support (e.g., screening visitors and callers; opening/distributing mail, typing/proofing documents, letters, and reports; organizing files; scheduling meetings/appointments; arranging travel; processing travel claims; ordering supplies/equipment) or technical support work (e.g., determining budget, personnel, and equipment needs; compiling/evaluating statistical, historical, economic, business, financial or technical program data; interpreting or securing compliance with laws, rules and regulations; reviewing operating records/reports and evaluating their effectiveness)? 30 semester hours equals one year of experience. + I do not have any of the combined education and/or experience + Less than five years of the combined education and/or experience + Five years or more of the combined education and/or experience 05 Are you a current State of Iowa employee- executive branch? IF YES - How many months do you have of full-time experience in the classification of Administrative Assistant 1 for the State of Iowa? + I am not a current State of Iowa employee + I do not have any experience in the classification of Administrative Assistant 1 for the State of Iowa + Less than 12 months of full-time experience in the classification of Administrative Assistant 1 for the State of Iowa + 12 months or more of full-time experience in the classification of Administrative Assistant 1 for the State of Iowa Required Question Employer State of Iowa Website hhs.iowa.gov Apply Please verify your email addressVerify Email