Correspondence Processor

Job Summary

Assisting with member correspondence activities, the full-time Correspondence Processor will generate clinical determination letters for members and providers while ensuring compliance with established guidelines and standards.

Key responsibilities

• Generate clear and accurate clinical determination letters for members and providers, adhering to regulatory requirements
• Monitor letter queues to ensure timely generation and delivery of correspondence
• Collaborate with internal teams to maintain high-quality standards and troubleshoot issues related to letter creation or delivery

Required qualifications

• At least 1 year of experience in an administrative support role, preferably in a healthcare environment
• Previous experience as a Correspondence Processor is preferred
• Strong organizational and time-management skills to handle multiple letter queues and deadlines
• Basic proficiency in Microsoft Office suite or applicable software programs
• Ability to maintain confidentiality and ensure compliance with relevant guidelines and regulations