Mindlance

BusinessOperations - Exception Template

New

PayCompetitive
LocationMyrtle Point/Oregon
Employment typeFull-Time
  • Job Description

      Req#: 26-02118

      Correspondence Specialist II
      J00915

      Position Purpose:
      Generates, processes and maintains provider and member correspondence for preservice and concurrent review.

      Education/Experience:
      Requires a High School diploma or GED
      Requires 1 – 2 years of related experience.


      Knowledge of correspondence process including understanding medical record information preferred. Generates correspondence from EMR documentation and ensures correspondence tasks are processed in a timely manner to ensure compliance according to regulatory standards and policies

      Updates and maintains correspondence templates based on regulatory, and interdepartmental correspondence inquiries

      Coordinates all data collection, analysis, and reporting activities that impact processes

      Assists with the compliance and turn-around time (TAT) log for all correspondence notifications
      Performs other duties as assigned.

      Complies with all policies and standards.

      EEO:

      “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”

      ========

      Story Behind the Need – Business Group & Key Projects
      • Health plan or business unit
      • Team culture
      • Surrounding team & key projects
      • Purpose of this team
      • Reason for the request
      • Motivators for this need
      • Any additional upcoming hiring needs?
      Recently lost 3 Contingent workers needing to backfill for Business needs. We will be working with Fl ABA work, fulfilling Peer 2 Peers and documenting and sending out relevant correspondence.
      Typical Day in the Role
      • Daily schedule & OT expectations
      • Typical task breakdown and rhythm
      • Interaction level with team
      • Work environment description
      Schedule as detailed above, OT more than likely not expected. Typical workday depending on assignment, would be entry/scheduling of Peer 2 Peer, retrieving and resolving based on clinical decision, updating mbr record and sending correspondence. Team collaboration and communication is critical to the role.
      Compelling Story & Candidate Value Proposition
      • What makes this role interesting?
      • Points about team culture
      • Competitive market comparison
      • Unique selling points
      • Value added or experience gained
      Very resilient team, work hard to make sure providers received timely decisions. Assignments based on need so maybe different day to day in service of our members.
      Candidate Requirements
      Education/Certification Required: High School diploma/GED Preferred:
      Licensure Required: N/A Preferred:
      • Years of experience required
      • Disqualifiers
      • Best vs. average
      • Performance indicators
      Must haves: Requires 1 – 2 years of related experience

      Nice to haves: Knowledge of correspondence process including understanding medical record information preferred

      Disqualifiers: Not entry level so some experience required as mentioned above

      Performance indicators:

      Best vs. average:
      • Top 3 must-have hard skills
      • Level of experience with each
      • Stack-ranked by importance
      • Candidate Review & Selection
      1 Computer skills
      2 Work as a team
      3 Customer Service (members and team)
      Candidate Review & Selection
      • Shortlisting process
      • Second touchpoint for feedback
      • Interview Information
      • Onboard Process and Expectations
      Projected HM Candidate Review Date:
      Number and Type of Interviews: 1 Virtual interview
      Extra Interview Prep for Candidate: Must provide resume
      Required Testing or Assessment (by Vendor):


  • About the company

      Mindlance is one of the largest diversity-owned staffing firms in the US . As a recruitment centric talent acquisition company, Mindlance provides Technology, Engineering, Digital / Creative / Marketing, Clinical Research, Scientific, Finance, Professional and Payroll Management staffing services to Global 1000 companies across the US, Canada and India.

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