Supervisor, Correspondence (Digital Media)
By Performant Financial Corporation At , Remote
Assists management with establishing and communicating goals and expectations to team members.
Monitors attendances and effectively raises and addresses concerns in collaboration with the next level management and HR.
Ability to effectively transfer knowledge/skills to others and develop staff.
Contributes to continuous improvement efforts and develops/delivers tools and training to increase knowledge, efficiency and consistency of department output.
Reviews and approves scheduled time off requests, time-cards, and other direct supervisory responsibilities as assigned through the HR/Payroll systems.
Demonstrates Performant core values in performance of job duties and all interactions.
Supervisor, Correspondence (Digital Media)
By Performant Corp At United States
Assists management with establishing and communicating goals and expectations to team members.
Monitors attendances and effectively raises and addresses concerns in collaboration with the next level management and HR.
Ability to effectively transfer knowledge/skills to others and develop staff.
Contributes to continuous improvement efforts and develops/delivers tools and training to increase knowledge, efficiency and consistency of department output.
Reviews and approves scheduled time off requests, time-cards, and other direct supervisory responsibilities as assigned through the HR/Payroll systems.
Demonstrates Performant core values in performance of job duties and all interactions.
(Medi-Cal) Correspondence Phone Support, Intermediate
By Blue Shield of California At , Long Beach $18.07 - $25.30 an hour
Comprehensive resolution of pharmacy calls concerning benefits coverage, co-pays, formulary coverage, vacation overrides, and utilization management requirements
Review and analyze member claims for accuracy as well as member education on how benefits are applied
Resolve incoming calls concerning member's eligibility, benefits, provider information, monthly premium billing, clinical and pharmacy needs
Compose routine and non-routine correspondence to answer benefits/provider inquiries in writing
Requires at least 3 years of prior relevant experience
Requires basic job knowledge of Microsoft Suite systems and the ability to use applications on a computer proficiently
Correspondence Operator Ii Jobs
By Illinois Secretary of State At Springfield, IL, United States
May perform other routine work such as operating a keyboard-controlled data entry device for a limited percentage of time.
Requires extensive knowledge of office practices, procedures and programs.
Requires elementary knowledge of Department programs, policies and regulations.
Requires working knowledge of basic mathematics.
Requires extensive knowledge of composition, grammar, spelling and punctuation.
Proofreads and edits material for appropriate punctuation, grammar, spelling, capitalization and typographical errors.
Associate Operations Correspondence Analyst (Dentaquest) Remote
By DentaQuest At Milwaukee, WI, United States
Completion of the client requirement document (CRD) to accurately reflect contract and regulatory requirements.
Identify the templates required for implementation, based on operational process and requirements. Draft a template document, as necessary.
Ensure template content meets requirements based on client contract, regulations, NCQA and/or URAC.
Perform gap analysis for correspondence requirements and system functionality and/or current process and develop strategic solutions to ensure compliance with requirements.
Participate in market meetings to understand client requirements and changes. Communicate any items that impacts correspondence.
Associate’s degree in business, healthcare or related field (or equivalent work experience)
Claim Appeals & Correspondence I
By Medica At United States
Minimum requirement is HS diploma, or equivalent, plus 1 year of work experience.
Collaborate with multiple teams at Medica to resolve assigned issues (Coding, Utilization Management and Network Management etc.)
Health plan or claims processing experience required
Work and complete issues assigned by the Supervisor and Manager as needed
Work and complete reports assigned by the Supervisor and Manager as needed
Basic understanding of claims adjustment, health plan operations/plan language strongly preferred
Correspondence Specialist I Jobs
By InComm Payments At Columbus, GA, United States
This requires knowledge of all products and platforms, analytical skills, and the ability to clearly communicate information on trends to management.
Must have demonstrated strong communication (written and oral), organizational, and time-management skill
Must be able to pass background and credit check in accordance with InComm’s certification requirements.
Manage Tier II escalations coming from various call centers and departments. Report on trends.
Microsoft Word and Excel knowledge required.
Must be able to handle multiple tasks while working independently, as well as, interact well with others.