Correspondence Processor-Health Insurance Company-Remote

Correspondence Processor-Large Managed Care Company

Fully Remote

Must be able to work PST/MST Hours

3-month contract with potential for extension and/or perm hire

Schedule: Tuesday- Saturday: 10-6:30pm PST; Sun-Thurs: 10-6:30pm

Flex time- able to work late hours AND weekends

General Information

Job Description Summary: CORRESPONDENCE PROCESSOR - Works within the Care Access and Monitoring (CAM) team to provide clerical and data entry support for Healthcare Members that require hospitalization and/or utilization review for other healthcare services. Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate Health Care Services staff to ensure the delivery of high quality, cost-effective healthcare services according to State and Federal requirements to achieve optimal outcomes for Healthcare Members.

Job Description

The Correspondence Processor (CP)is a non-clinical staff with a high school education and some experience in the medical field, preferably in managed care positions. The CP: • Processes and monitors all member and provider correspondence through the Healthcare letter database • Adheres to UM policies and procedures • Must Have Skills: Attention to detail, Fast learner, able to adapt to change, multi-tasking skills • Day to Day Responsibilities: Correspondence- Letter generation- selects correct template, minor grammar checks • Required Years of Experience: 1-2 years • Required Licensure / Education: High School Graduate/ GED

Required Education: High School Diploma/GED

Required Experience: 0-2 years of experience in a Utilization Review Department in a Managed Care Environment. Previous Hospital or Healthcare clerical, audit or billing experience. Experience with Medical Terminology.

Job Types: Full-time, Contract

Pay: Up to $23.00 per hour

Expected hours: 40 per week

Schedule:
• 8 hour shift
• Day shift
• Weekends as needed

Experience:
• Microsoft Office: 2 years (Required)
• Data Entry: 2 years (Required)
• Medical office: 2 years (Required)

Work Location: Remote

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