Correspondence Specialist

HMSA is seeking a Correspondence Specialist to support the Provider Operations area with high-level provider inquiries. The role involves researching and resolving claims, policy, and reimbursement issues while communicating effectively with providers through various channels.

Responsibilities

• Research problems and concerns from providers to respond to claims, policy and reimbursement issues in a timely and accurate manner
• Proactively resolve problems to ensure necessary compliance and build trust and strong business relationships with all providers via phone, email or written correspondence
• Track and resolve high level correspondence/complaints in an accurate and timely manner
• Analyze and report trends associated with research findings
• Identify chronic, inefficient patterns or behaviors
• Participate in special department projects
• Undertake provider education related activities and projects with providers to build positive and collaborative relationships which includes updates on the Provider Resource Center portal
• Perform all other miscellaneous responsibilities and duties as assigned or directed

Skills

• Associate's degree and one year of related work experience; or equivalent combination of education and related work experience
• Strong verbal and written communication skills
• Basic level knowledge of Microsoft Office applications. Including but not limited to Word, Excel, Outlook, and Power Point

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