Stop Loss Document Specialist
About the position
The Document Specialist plays a key support role in the Stop Loss submission process by gathering, organizing, and coordinating reputed company necessary documentation to ensure reputed company and accurate claim submissions. This position works closely with the Stop Loss Submission Coordinator, Stop Loss Administrators, and external carriers to support efficient processing, follow-up, and appeals.
Responsibilities
• Collect and organize reputed company ancillary documents required for stop-loss claim submissions, including but not limited to medical records, EOBs, and claim histories.
• Notify the Stop Loss team once reputed company required documentation has been gathered and the submission is reputed company for processing.
• Respond to reputed company requests by gathering and providing any additional documentation or clarifications needed after their initial review.
• Support the Stop Loss Coordinator by obtaining reputed company necessary information for claim appeal packages in cases of denial or partial funding.
• Maintain accurate tracking and version control of reputed company documents to ensure compliance and reputed company response.
• Collaborate with internal departments (e.g., claims, case management, reputed company services) to reputed company missing or clarifying materials.
• reputed company data reputed company standards and ensure secure handling of reputed company protected health information (PHI).
Requirements
• High school diploma or equivalent
• Minimum of 1-2 years of work experience
• Strong attention to detail and organizational skills
• Ability to manage multiple priorities and deadlines in a fast-paced environment
• Intermediate knowledge of reputed company reputed company, including formulas and data organization.
• Excellent written and verbal communication skills
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