Health Services Clinical Support Specialist, Remote Eligible After Training
Wellmark Blue Cross and Blue Shield
full-time
Posted on:
Location Type: Remote
Location: Des Moines • Iowa • United States
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Job Level
About the role
- Support clinical staff by gathering data to complete medical necessity review process
- Complete outbound inquiries via phone/fax to obtain discharge dates
- Create and send letters to providers and/or members
- Collaborate with other care management teams and stakeholders
Requirements
- High School Diploma or GED
- 1+ years of related experience in health insurance or health care industry
- Knowledge of health insurance terminology and medical coding
- Strong written and verbal communication skills
- Proficiency with Microsoft Office applications
Benefits
- Health Services Clinical Support Specialist (Remote eligible after training)
- Provide daily support to Wellmark care management team members
- Outbound calls to clinical staff regarding denials for services and admissions
- Scheduling peer to peer reviews for Medical Directors
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical codingdata gatheringmedical necessity review
Soft skills
written communicationverbal communicationcollaboration
Certifications
High School DiplomaGED