Intake Correspondence Associate

Who we are

About the Role

The Intake Correspondence Associate is responsible for making outbound verbal notifications of clinical decisions, reviewing all letters for accuracy, ensuring they are HCA and CMS compliant and they adhere to compliance deadlines and for the preparation and mailing of high-volume health plan correspondence to members. To do this, you will navigate our software system to identify, print, and mail batches of member letters.

To be successful in this role, you:

• Have an associate degree, or an equivalent combination of education and highly relevant experience.
• Have at least one (1) year of customer service experience, preferred.
• Have working experience in a Healthcare setting, preferred.
• Are knowledgeable of medical terminology and healthcare processes, preferred.
• Are knowledgeable of Washington Apple Health and Medicare Advantage Plans, preferred.

Essential functions and Roles and Responsibilities:

• Notify providers of denial notifications prior to written notification processing.
• Review and ensure accuracy of all approval, denial and medical determination notifications and letters, ensuring regulatory compliance. Generate notifications and letters for mail room processing within required deadlines.
• Prints member correspondence, stuffs in envelopes, and places in the mail to fulfill regulatory correspondence requirements.
• Input incoming facility face sheets for new admissions.
• Reporting to work on time and for all scheduled shifts is essential to this position.
• Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.

Knowledge, Skills, and Abilities:

• Ability to meet scheduled deadlines with minimal supervision.
• Ability to prioritize, organize, and complete daily work both independently and collaboratively.
• Effective verbal and written communication skills.
• Flexibility and willingness to work in a matrix-management environment.
• Demonstrated organizational and time management skills.
• Demonstrated proficiency and experience with Microsoft Office products.
• Collaborate with others in a respectful manner and maintain confidentiality.
• Perform all functions of the job with accuracy, attention to detail and within established timeframes.

As part of our hiring process, the following criteria must be met:

• Complete and successfully pass a criminal background check

Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant’s criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees.

• Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency
• Vaccination requirement (CHPW offers a process for medical or religious exemptions)
• Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.

Compensation and Benefits:

The position is FLSA Non-Exempt and is eligible for overtime. Based on market data, this position grade is 37 (see full range below) and has a 5% annual incentive target based on company, department, and individual performance goals.

CHPW offers the following benefits for Full and Part-time employees and their dependents:

•  Medical, Prescription, Dental, and Vision
•  Telehealth app
•  Flexible Spending Accounts, Health Savings Accounts
•  Basic Life AD&D, Short and Long-Term Disability
•  Voluntary Life, Critical Care, and Long-Term Care Insurance
•  401(k) Retirement and generous employer match
•  Employee Assistance Program and Mental Fitness app
•  Financial Coaching, Identity Theft Protection
•  Time off including PTO accrual starting at 17 days per year.
•  40 hours Community Service volunteer time
•  10 standard holidays, 2 floating holidays
•  Compassion time off, jury duty  

Sensory/Physical/Mental Requirements:

Sensory*:

• Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance.

Physical*:

• Extended periods of sitting, computer use, talking and possibly standing
• Frequent finger dexterity; occasional simple grasp and wrist flexion
• Constant walking or climbing stairs.
• Occasional stooping, bending, and twisting.
• Frequent kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching.

Mental:

• Ability to learn and prioritize multiple tasks at a given time and have the capability of handling demanding situations. Analytical/problem solving/critical thinking ability.

Work Environment:

Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.