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Correspondence Escalation Specialist

Correspondence Escalation Specialist

VENTRA HealthFort Worth, TX, US
10 days ago
Job type
  • Full-time
Job description

Correspondence Specialist

The Correspondence Specialist is responsible for the research and proper handling of incoming correspondence.

Essential Functions and Tasks

  • Works in a variety of work queues servicing multiple clients on claim rejections, duplicate claims, records, and bills.
  • Resolves patient billing issues.
  • Explains policies and procedures clearly and concisely. Research, resolves, and documents incoming correspondence.
  • Evaluates incoming concerns and returns acknowledgement in the appropriate medium (email, telephone, etc.).
  • Performs special projects and other duties as assigned.

Education and Experience Requirements

  • High School Diploma or Equivalent.
  • One (1) year of customer service experience in a high volume, fast paced environment. Healthcare customer service experience preferred.
  • This position is in office in Fort Worth, Texas.
  • Knowledge, Skills, and Abilities

  • Knowledge of the Explanation of Benefits.
  • Knowledge of a variety of insurance plans.
  • Knowledge of ICD-10 and CPT Codes.
  • Strong word processing, spreadsheet, database, and presentation software skills.
  • Strong mathematical skills in addition, subtraction, multiplication and division of whole numbers and fractions; computing percentages; and working with decimals.
  • Strong oral, written, and interpersonal communication skills.
  • Strong time management skills.
  • Strong organizational skills.
  • Ability to handle and resolve escalated calls and correspondence.
  • Ability to read, understand, and apply state / federal laws, regulations, and policies.
  • Ability to remain flexible and work within a collaborative and fast paced environment.
  • Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
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