a full time Documentation Specialist Lead for our Cottonwood, AZ location. The prospective candidate will need excellent oral and written communications. They should have the ability to maintain a courteous and professional demeanor while working under pressure self-starter with the ability to work independently and as part of a team, detail oriented, strong analytical ability.
Hourly position with 401(k), paid Holidays and excellent company paid benefits. EOE Submit resume and wage requirements to [xyz X@] or fax to 866-293-xyz X. Education Required Associates Degree or 2 years work related experience Experience Required 3+ yrs. experience in an administrative support role, healthcare
industry knowledge is a plus. 2+ yrs. experience with Excel, and MS Word. Special Skills Required Health care industry experience, strong analytical skills, superior research and follow-up skills; ability to work well with internal departments and external clients; demonstrate detail-oriented work product and flow, and superior organizational skills.
Exercise a high degree of initiative, judgment, and decision-making; strong communication skills, background in healthcare delivery or administration. Computer literate; excellent oral and written communication skills are a must. Job Purpose To create and/or reproduce the necessary documentation for plan designs; including but not limited
to Plan Documents, Schedules of Benefits (SOB), and Summary Benefit Coverage (SBC) for new groups and save them to all appropriate internal applications.
The position will work closely with Account Management to complete the necessary documentation when new groups are implemented. Consistent communication is required with the designated Account Manager to ensure that all documents have been completed and are ready to be sent and/or signed by the appropriate points of contact. This position will process the daily ID card order and ensure quality checks are being conducted for every plan design and group producing an ID card on the daily file. Any discrepancies identified on the daily ID card order are to be communicated to the Sr.
Manager Documentation and Client Support before the order is processed. Main Duties and Responsibilities Assist the Sr. Manager of Documentation with creating Plan Documents, Summary Benefits Coverage (SBC), Schedules of Benefits (SOB) and ID Card template(s) for new Precis Modified plans, Custom plans, and Custom new programs Assist the Sr. Manager of Documentation with creating the necessary documentation for new groups requiring Precis Modified or Custom plan designs based on the prior insurance carriers plan design(s) and/or plan design specifications provided.
Assist the Sr. Manager of Documentation with creating the necessary documentation for new groups requiring Precis Modified or Custom plan designs based on the prior insurance carriers plan design(s) and/or plan design specifications provided. Create the necessary documentation for new groups that will be utilizing new Precis Modified plan(s), Custom plan(s), or Custom new program plan(s). Complete, save, track, and communicate to appropriate internal departments once the necessary documentation has been completed for new groups. Maintain documentation in the active client folders.
Maintain documentation on the HMA member portal. Maintain documentation on the Quick Base application. Archive documentation for the terminated group(s) or retired plan designs. Create Client Specific Plan Documents, Summary Benefits Coverage (SBC), and copy existing Schedules of Benefits (SOB) Create and/or copy the necessary documentation based on program type for all new groups and the plan(s) the group has elected for program plans or standard shelf (pre-built) plans, including but not limited to the creation of SOBs, SBCs, and Plan Documents. Complete, save, track, and communicate to appropriate internal departments once the necessary documentation has been completed for new groups.
Maintain documentation in the active client folders. Maintain documentation on the HMA member portal. Maintain documentation on the Quick Base application. Archive documentation for terminated group or retired plan designs. Daily ID Card Order Processing Process the daily ID cards in the Web Integration system. Quality checks are to be performed daily on each plan design and group to compare the live ID card(s) printed to the approved ID card template. Any discrepancies are to be reported to the Sr.
Manager Documentation and Client Support prior to ordering the ID cards. Work with the Sr. Manager Documentation and Client Support and other necessary internal departments to resolve discrepancies identified as well as any other issues that may arise during the daily ID card order processing. Ad-Hoc Requests / Audits / Other projects and tasks as assigned
