Correspondence Specialist

Job Summary

A company is looking for a Correspondence Specialist III to manage provider and member correspondence for preservice and concurrent review.

Key Responsibilities

• Generate and process correspondence from EMR documentation while ensuring compliance with regulatory standards
• Update and maintain correspondence templates and coordinate data collection and reporting activities related to the denial process
• Assist the denial team in identifying root causes of denial issues and act as a trainer for team members

Required Qualifications

• High School diploma or GED required
• 2 - 4 years of related experience preferred
• Strong knowledge of the denials process and medical record information is preferred
• Ability to comply with all policies and standards
• Flexibility to work Sunday-Thursday from 12:00pm-9:00pm CST