The Correspondence Coordinator is responsible for completing member and provider notification letters for the Utilization Management (UM) department within mandated timeframes and established quality parameters. Maintains strict confidentiality.
KEY FUNCTIONS/RESPONSIBILITIES:
- Gathers information from the clinical documentation system and the clinical staff who have reviewed a case.
- Organizes the information into messages appropriate for member receipt and for provider receipt.
- Initiates follow up with clinical staff when clarification is required.
- Identifies the appropriate letter template and transcribes information from the messages onto the template.
- Generates final letter(s) and mails or transmits electronically, as appropriate.
- Maintains mandated timeframes and quality standards.
- Collaborates with supervisor to identify and implement process improvements.
- Provides excellent customer service.
- Other duties as assigned.
QUALIFICATIONS:
EDUCATION:
- High school diploma or equivalent
- AS Degree preferred
EXPERIENCE:
- At least 1 year of general clerical experience
- At least 1 year generating professional correspondence using Microsoft Word
- At least 1 year in a health insurance or medical office preferred
- Regular exposure to/use of medical terminology preferred
- Microsoft Excel preferred
*Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
Required Skills
Required Experience