ESSENTIAL JOB DUTIES:

To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.

• Provide clerical support for various Health Plan teams, including Utilization Management, Administration and Appeals & Grievances

• Process all incoming and outgoing mail

• Prepare, gather, label and send written communication to Plan providers, members and others

• Maintain logs and paperwork for follow up and tracking purposes

• Print, scan and file Plan materials

• Answer incoming telephone calls and greet visitors as needed

• Other duties as assigned

JOB REQUIREMENTS:

• Ability to understand and follow written guidelines pertaining to regulations and compliance

• Maintain HIPAA compliance

• Prioritize and respond to emergent situations, taking appropriate actions within scope

• Ability to learn new software systems

• Required to be in the office M-F, 8:00 a.m. – 4:30 p.m.

• Successful completion of required training

• Handle multiple priorities effectively

• Reliable transportation

REQUIRED KNOWLEDGE / SKILLS:

• Superior written and verbal communication skills

• Experience with using Microsoft Office (Word, Excel, Power Point, Outlook, Teams)

Required Computer Software/Equipment used:

• Various operating systems

• Standard office equipment

• Microsoft Suite applications

• Desktop, laptop and/or iPad

REQUIRED QUALIFICATIONS:

• Education:

o High school diploma required

SUPERVISORY RESPONSIBILITIES:

• Does not have supervisory responsibilities

• Supervisor frequently determines priorities

• Occasionally needs manager’s direction due to extraordinary circumstances

WORKING CONDITIONS:

• Audio-Visual: Good

• Hearing: Good

• Ability to lift to 30 pounds

• Subject to standing, walking, sitting, bending, reaching, kneeling, pushing and pulling

• Work is typically performed in a standard office environment; well-lit; comfortable temperature-controlled

• Above-average conversational noise is frequent

• Position may require flexible hours, unscheduled overtime or occasional week-end work

• Must be able to speak and write in English

• Travel may be required

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EQUAL OPPORTUNITY EMPLOYER

This Organization is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. This Organization will make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. A key part of this policy is to provide equal employment opportunity regarding all terms and conditions of employment and in all aspects of a person's relationship with the Organization including recruitment, hiring, promotions, upgrading positions, conditions of employment, compensation, training, benefits, transfers, discipline, and termination of employment.

Education

• High School or better