Health Services Clinical Support Specialist
Wellmark Blue Cross and Blue Shield
full-time
Posted on:
Location Type: Remote
Location: Des Moines • Iowa • United States
Visit company websiteExplore more
Job Level
About the role
- Provide daily support to Wellmark care management team members through outbound calls to clinical staff regarding denials for services and admissions
- Schedule peer to peer reviews for Medical Directors
- Complete prompt and professional outbound phone and fax inquiries to obtain member discharge dates
- Support and request clinical information as directed by the Utilization Management Nurses
- Provide backup for other Health Services team members as needed
Requirements
- High School Diploma or GED
- 1+ years of related experience in health insurance or health care industry experience
- Knowledge of health insurance terminology and medical coding
- Experience producing medical reports, correspondence, records, patient care information, statistics, medical research and/or administrative material
- Strong written and verbal communication skills
- Proficiency with Microsoft Office applications
- Experience working in a team environment
- Ability to work in a fast-paced environment where production and/or quality goals are measured
Benefits
- 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical codingmedical reportspatient care informationadministrative materialstatisticsmedical research
Soft Skills
strong written communicationstrong verbal communicationteamworkability to work in a fast-paced environment
Certifications
High School DiplomaGED