Correspondence Coordinator, Utilization Management

Job Title

Qualifications: High school diploma or equivalent Education Preferred/Desirable: AS Degree Experience Required: At least 1 year of general clerical experience At least 1 year generating professional correspondence using Microsoft Word Experience Preferred/Desirable: At least 1 year in a health insurance or medical office Regular exposure to/use of medical terminology Microsoft Excel Certification or Conditions of Employment: Pre-employment background check Competencies, Skills, and Attributes: A willingness to learn, follow directions and work compatibly with others Ability to prioritize work Strong oral and written communication skills Detail oriented with excellent proof reading, data entry and editing skills Regular and reliable attendance is an essential function of the position Work is normally performed in a typical interior/office work environment No or very limited physical effort required; no or very limited exposure to physical risk Ability to work OT during peak periods Other: Other duties as assignedSkill in operating/using standard office machines/equipment

Responsibilities

Gathers information from the clinical documentation system and the clinical staff who have reviewed a case. Organizes the information into messages appropriate for member receipt and for provider receipt. Initiates follow up with clinical staff when clarification is required. Identifies the appropriate letter template and transcribes information from the messages onto the template. Generates final letter(s) and mails or transmits electronically, as appropriate. Maintains mandated time-frames and quality standards. Collaborates with supervisor to identify and implement process improvements. Provides excellent customer service. Other duties as assigned.

Comments/Special Instructions position to start of as remote, moving back to Charleston office when and if appropriate. Applicants must be available to work both remote/in person