OpTech is a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work at OpTech, not only do you get health and dental benefits on the first day of employment, but you also have training opportunities, flexible work options, growth opportunities, 401K and competitive pay. Apply today! To view our complete list of openings, please visit our website at www.optechus.com.
We have a top client in the health insurance industry who is currently seeking Documentation Specialists!!!
If you're looking to make a career change, this might just be the opportunity you've been looking for! No experience in the health insurance industry is necessary and training will be provided!!
This is a 100% remote opportunity!! Must be able to work EST schedule!!
Job Description:
Individuals will be responsible for analyzing, researching, resolving, and responding to complaints, appeals, and grievances from members and regulatory agencies.
Responses to all cases require a detailed written correspondence to the inquirer.
All response letters must include specific elements to meet regulatory and accreditation guidelines.
Job Requirements:
Minimum of 2 years' experience with project coordination and/or handling tasks from beginning to end
Minimum of 2 years' experience with investigative and/or research responsibilities.
Minimum of 2 years' experience with strong letter writing and proofreading skills.
Strong analytical skills including having the ability to examine a matter, the facts, contextual information and then making an informed decision or implement and execute a reasonable/rational resolution.
Excellent verbal and written communication skills required
High attention to detail and strong organizational skills.
Ability to work independently or with minimal oversight
Ability to work in a fast-paced environment with tight deadlines and high quality standards
Ability to work well under stressful circumstances
Strong PC application and system skills- having the ability to navigate multiple computer systems and databases
Have previous customer service experience and excel at customer servicing
Required Education /Certifications:
High school diploma or GED required
OpTech is an equal opportunity employer and it committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, status as a parent, disability, age, veteran status, or other characteristics
Seniority level
Associate
Employment type
Contract
Job function
Analyst, Research, and Writing/Editing
Industries
Hospitals and Health Care
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