Underwriting Specialist I

Posted 1 day ago

This is a fully remote position, open to applicants in Idaho, +3 more states.

πŸ“‹ Description

β€’ Conduct outreach to designated members and providers through phone calls, emails, or letters to promote health care appointments.

β€’ Prepare and verify processed files for imaging and storage.

β€’ Oversee document retention and storage procedures.

β€’ Manage and maintain records of received documents diligently.

β€’ Generate application files from electronic resources.

β€’ Input document numbers for approved files into the tracking system.

β€’ Confirm and enter application approval and acceptance details.

β€’ Release files to the Membership department for activation.

β€’ Create correspondence and audit outgoing communications.

β€’ Investigate and document miscellaneous correspondence received by the department.

β€’ Make, receive, and log phone calls accurately.

β€’ Implement changes to Underwriting, State, or Federal policies to ensure compliance with current requirements.

β€’ Monitor production statistics effectively.

β€’ Adhere to MTM and HIPAA Privacy standards strictly.


⛳️ Requirements

β€’ High School diploma or GED equivalent.

β€’ One year of experience in a medical office, customer service, or call center, or an equivalent combination of education and experience.

β€’ Ability to exercise sound judgment, initiative, and discretion in a mature, sensitive, and confidential manner.

β€’ Capable of typing 30 words per minute with 95% accuracy.

β€’ Proficient in computer skills, including Microsoft Office (Word, Excel, Outlook) or similar software.

β€’ Ability to learn and utilize complex systems efficiently.

β€’ Strong organizational skills with the ability to prioritize and manage multiple tasks.

β€’ Proven ability to establish effective working relationships with colleagues and clients.

β€’ Committed to maintaining attendance and production standards at or above departmental expectations.

β€’ Excellent oral and written communication skills.

β€’ Knowledge of medical terminology is preferred.

β€’ Experience with AI tools and technologies is highly desirable.

β€’ Must have access to a personal mobile device for Multi-Factor Authentication.

β€’ Background check is required.


🏝️ Benefits

β€’ Competitive salary.

β€’ Market-leading 401(k) plan with a significant company match.

β€’ Opportunities for bonuses.

β€’ Medical, dental, and vision coverage for employees and eligible family members, including mental health benefits.

β€’ Annual employer contribution to a health savings account.

β€’ Generous paid time off.

β€’ Ten company-paid holidays.

β€’ Retirement plan with company match and potential discretionary contributions based on company performance, with no vesting period.

β€’ Up to 12 weeks of paid parental leave, subject to eligibility.

β€’ Award-winning wellness programs that offer rewards for participation.

β€’ Employee Assistance Fund.

β€’ Commute and parking benefits.

β€’ Work-from-home options available for most positions.

β€’ Employee resource groups.

β€’ Cambia-supported community outreach initiatives.

β€’ Requirement for a wired internet connection for work-from-home roles.

β€’ Access to a personal mobile device for Multi-Factor Authentication.

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