Cambia Health Solutions Hiring for Underwriting Specialist I – R-2237 at Boise Full Time

This job was posted by https://idahoworks.gov : For more information, please see: https://idahoworks.gov/jobs/1754684 &b&Underwriting Specialist I&/b&&br&&br&Possible Telecommute Option – Must reside in ID, OR, UT, WA&br&&br&The Underwriting Specialist I provides outreach to identified members using appropriate channels to encourage health care visits so accurately coded claims are received by Cambia supporting the Risk Adjustment process. Ensure appropriate referrals are made to Care Management programs. May process applications using the Plan rating tool in an accurate, timely fashion ensuring eligibility criteria is met. Provide customer service to those inquiring about potential or pending policies.&br&&br&&b&Responsibilities&/b&&br&&ul&&li&Perform outreach to identified members and providers via phone, email or letter to encourage health care visits.&br&&/li&&li&Prepare and validate processed files for imaging and retention; coordinate document retention and&br&&/li&&li&storage, manage and maintain records of received documents and produce application files from&br&&/li&&li&electronic sources.&br&&/li&&li&Enter document numbers for approved files into tracking system, validate and enter application&br&&/li&&li&approval/acceptance information and release file to Membership for activation.&br&&/li&&li&Produce correspondence, audit all outgoing correspondence and research and document&br&&/li&&li&miscellaneous correspondence received by department.&br&&/li&&li&Make, receive and document phone calls.&br&&/li&&li&Incorporate and apply changes made to Underwriting, State or Federal policies to ensure current&br&&/li&&li&requirements are met.&br&&/li&&li&Track production statistics.&br&&/li&&li&Comply with MTM and HIPAA Privacy standards.&br&&/li&&/ul&&br&&b&Minimum Requirements&/b&&br&&ul&&li&Demonstrated ability to exercise sound judgment, initiative and discretion in a mature, sensitive and confidential manner.&br&&/li&&li&Ability to type 30 wpm with 95% accuracy.&br&&/li&&li&Computer skills including experience using Microsoft Office (Word, Excel, Outlook) or comparable software and ability to learn and use complex systems.&br&&/li&&li&Ability to organize, prioritize and manage multiple tasks.&br&&/li&&li&Demonstrated ability to establish effective working relationships with coworkers and customers.&br&&/li&&li&Proven ability to be dependable and maintain attendance and production standards at or above department standards.&br&&/li&&li&Ability to communicate effectively both orally and in writing.&br&&/li&&li&Knowledge of medical terminology preferred.&br&&/li&&/ul&&br&&b&Normally to be proficient in the competencies listed above &/b&&br&&br&UW Specialist I would have a High School diploma or GED and 1 year medical office, customer service or call center experience or equivalent combination of education and experience.&br&&br&Regence employees are part of the larger Cambia family of companies, which seeks to drive innovative health solutions. We offer a competitive salary and a generous benefits package. Regence is 2.2 million members, here for our families, co-workers and neighbors, helping each other be and stay healthy and provide support in time of need. We’ve been here for members for 100 years. Regence is a nonprofit health care company offering individual and group medical, dental, vision and life insurance, Medicare and other government programs as well as pharmacy benefit management. We are the largest health insurer in the Northwest/Intermountain Region, serving members as Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (in Washington). Each plan is an independent licensee of the Blue Cross and Blue Shield Association. &br&&br&If you’re seeking a career that affects change in the hea lth care system, consider joining our team at Cambia Health Solutions. We advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers’ engagement in their health care decisions, and offering a diverse range of products and services that promote the health and well-being of our members. Cambia’s portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.&br&&br&This position includes 401(k), healthcare, paid time off, paid holidays, and more. For more information, please visit www.cambiahealth.com/careers/total-rewards.&br&&br&We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.&br&&br&If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Informa