HMSA is seeking a Correspondence Specialist to support the Provider Operations area with high-level provider inquiries. The role involves researching and resolving claims, policy, and reimbursement issues while communicating effectively with providers through various channels.
Responsibilities
- Research problems and concerns from providers to respond to claims, policy and reimbursement issues in a timely and accurate manner
- Proactively resolve problems to ensure necessary compliance and build trust and strong business relationships with all providers via phone, email or written correspondence
- Track and resolve high level correspondence/complaints in an accurate and timely manner
- Analyze and report trends associated with research findings
- Identify chronic, inefficient patterns or behaviors
- Participate in special department projects
- Undertake provider education related activities and projects with providers to build positive and collaborative relationships which includes updates on the Provider Resource Center portal
- Perform all other miscellaneous responsibilities and duties as assigned or directed
Skills
- Associate's degree and one year of related work experience; or equivalent combination of education and related work experience
- Strong verbal and written communication skills
- Basic level knowledge of Microsoft Office applications. Including but not limited to Word, Excel, Outlook, and Power Point
Company Overview
HMSA is an insurance company that provides affordable health plans, employee benefits services and worksite wellness programs. It was founded in 1938, and is headquartered in Honolulu, Hawaii, USA, with a workforce of 1001-5000 employees. Its website is https://www.hmsa.com.