Correspondence Clerk

Job Description

As a Correspondence Clerk, you'll play a crucial role in managing medical authorization requests and ensuring compliance with healthcare regulations. You will liaise with healthcare providers and maintain accurate records to facilitate efficient decision-making.

Responsibilities

• Review and process incoming authorization requests and communicate with providers.
• Develop and maintain an efficient filing system for medical records.
• Collaborate with clinical teams to facilitate the approval process for patient treatments.
• Ensure all correspondence adheres to HIPAA and privacy regulations.
• Utilize electronic health record systems for accurate and timely documentation.
• Assist in resolving denied authorization requests by gathering additional necessary documentation.
• Stay updated on changes in healthcare regulations affecting authorizations.
• Contribute to departmental quality assurance initiatives.
• Provide administrative support to the Director of Patient Access.
• Assist in patient inquiries regarding their authorization status.

Requirements

Education

• Bachelor's degree in a related field
• Additional certifications in medical billing or healthcare administration are an asset.

Experience

• 2+ years of experience in healthcare administration or insurance verification.

Technical Skills

• Microsoft Office Suite
• Database Management

Soft Skills

• Problem-solving
• Teamwork

Certifications

• Certified Coding Associate (CCA)
• Certified Professional Coder (CPC)

Languages

• English: Fluent

Advantageous

• Experience with medical appeals and denials: Ability to navigate and manage the appeal process for denied authorization requests.
• Proficient in internet research tools: Ability to effectively search for information related to medical authorizations.

Benefits

• Comprehensive health, dental, and vision insurance
• Work-from-home options
• Generous paid time off
• Employee wellness programs

Company Culture

• Innovation and Creativity: We encourage our team to think outside the box and bring forward innovative solutions to challenges.
• Positive Work-Life Balance: We believe in a healthy work-life balance and provide flexible working arrangements to support our staff.
• Community Focused: We are committed to giving back to the community and engage in various charitable initiatives throughout the year.