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The Correspondence Coordinator prepares all delayed decision, carve out and denial letters for all networks. Sends appropriate correspondence to provider, member, and health plan.
Compliant with PA and Health Plan Standards. Compliant with health plan reporting and adheres to all compliance regulations and timeliness standards.
Prepare delayed decision, carve-out and denial letters daily, following the PA and Health Plan timeliness standards. Maintain accurate logs for health plan reporting.
Maintain organized file system by network for all correspondence in system. Process accurate denial reasons using correct templates and grids per PA and Health Plan standards.
Audits pull and prepare requested denial and delayed decision letters for Health Plan audits. Attend denial letter training.
Three (3) years’ experience with Medical Group Denial letter process required. WPM 50 (minimum) required. Experience and knowledge of Microsoft Office, Word and proficient computer skills.
Ability to write business correspondence. Ability to effectively present information and respond to questions from managers, employees, and Medical Directors.
Maintains member confidence and protects operations by keeping claim information confidential in compliance with HIPAA requirements.
Ability to work in a fast-paced office environment meeting operational and compliance School Diploma or GED
Last updated : 2024-05-24
Full Time
Ancillary Healthcare
$60k-76k (estimate)
05/26/2024
06/11/2024
prospectmedical.com
TUSTIN, CA
200 - 500
1985
IRENE LUNA
$10M - $50M
Ancillary Healthcare
Welcome to Prospect Medical Group, an independent physician association (IPA) supporting residents of Southern California. Call us today @ 800-708-3230.
The job skills required for Correspondence coordinator include Microsoft Office, etc. Having related job skills and expertise will give you an advantage when applying to be a Correspondence coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Correspondence coordinator. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Correspondence coordinator positions, which can be used as a reference in future career path planning. As a Correspondence coordinator, it can be promoted into senior positions as a Customer Retention Representative III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Correspondence coordinator. You can explore the career advancement for a Correspondence coordinator below and select your interested title to get hiring information.