Data Entry (Intake) enters information in system from fax system verifies eligibility, coverage, request for missing information, redirecting to in network facilities, assist in phone queue questions . Correspondence Letter generation selects correct template, minor grammar checks . Required Education High School Graduate (CRP); Some College (Correspondence Processor) Req

All UM standard Inpatient, Outpatient and Custodial Care processes and workflows for any requests, verbal notifications for denials/partial denials to both member and provider, participation in IDTs, personal queue management and clinical reviews. Must Have Skills Must have experience in UM, experience with Turnaround Timeframes, good with computer systems and be able to