Job Summary
- The Correspondence Specialist is responsible for the research and proper handling of incoming correspondence.
Essential Functions and Tasks
- Works in a variety of work queues servicing multiple clients on claim rejections, duplicate claims, records, and bills.
- Resolves patient billing issues.
- Explains policies and procedures clearly and concisely. Research, resolves, and documents incoming correspondence.
- Evaluates incoming concerns and returns acknowledgement in the appropriate medium (email, telephone, etc.).
- Performs special projects and other duties as assigned.
Education and Experience Requirements
- High School Diploma or Equivalent.
- One (1) year of customer service experience in a high volume, fast paced environment. Healthcare customer service experience preferred.
Knowledge, Skills, and Abilities
- Knowledge of the Explanation of Benefits.
- Knowledge of a variety of insurance plans.
- Knowledge of ICD-10 and CPT Codes.
- Strong word processing, spreadsheet, database, and presentation software skills.
- Strong mathematical skills in addition, subtraction, multiplication and division of whole numbers and fractions; computing percentages; and working with decimals.
- Strong oral, written, and interpersonal communication skills.
- Strong time management skills.
- Strong organizational skills.
- Ability to handle and resolve escalated calls and correspondence.
- Ability to read, understand, and apply state/federal laws, regulations, and policies.
- Ability to remain flexible and work within a collaborative and fast paced environment.
- Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
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