Jobs for People with MS: National MS Society

Primary Job Purpose The Underwriting Specialist I provides outreach to identified members using appropriate channels to encourage health care visits so accurately coded claims are received by Cambia supporting the Risk Adjustment process. Ensure appropriate referrals are made to Care Management programs. May process applications using the Plan rating tool in an accurate, timely fashion ensuring eligibility criteria is met. Provide customer service to those inquiring about potential or pending policies. General Functions and Outcomes * Perform outreach to identified members and providers via phone, email or letter to encourage health care visits. * Prepare and validate processed files for imaging and retention; coordinate document retention and * storage, manage and maintain records of received documents and produce application files from * electronic sources. * Enter document numbers for approved files into tracking system, validate and enter application * approval/acceptance information and release file to Membership for activation. * Produce correspondence, audit all outgoing correspondence and research and document * miscellaneous correspondence received by department. * Make, receive and document phone calls. * Incorporate and apply changes made to Underwriting, State or Federal policies to ensure current * requirements are met. * Track production statistics. * Comply with MTM and HIPAA Privacy standards. Minimum Requirements * Demonstrated ability to exercise sound judgment, initiative and discretion in a mature, sensitive and confidential manner. * Ability to type 30 wpm with 95% accuracy. * Computer skills including experience using Microsoft Office (Word, Excel, Outlook) or comparable software and ability to learn and use complex systems. * Ability to organize, prioritize and manage multiple tasks. * Demonstrated ability to establish effective working relationships with coworkers and customers. * Proven ability to be dependable and maintain attendance and production standards at or above department standards. * Ability to communicate effectively both orally and in writing. * Knowledge of medical terminology preferred. Normally to be proficient in the competencies listed above UW Specialist I would have a High School diploma or GED and 1 year medical office, customer service or call center experience or equivalent combination of education and experience. Work Environment * No unusual working conditions. * Work primarily performed in office environment. About Cambia Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through. Why Join the Cambia Team? At Cambia, you can: * Work alongside diverse teams building cutting-edge solutions to transform health care. * Earn a competitive salary and enjoy generous benefits while doing work that changes lives. * Grow your career with a company committed to helping you succeed. * Give back to your community by participating in Cambia-supported outreach programs. * Connect with colleagues who share similar interests and backgrounds through our employee resource groups. We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. In exchange for helping members live health To view the full job description,