Das ist der Job
Verify monthly authorization table updates and track performance metrics.
Darum lohnt es sich
Support Medical Policy Team operations including timeline management and document distribution. Support MPC and MPIT meetings with minutes, agendas, and post-policy discussions. Monitor Medical Policy inbox and manage SharePoint forms. Conduct coding analyses using SAP BusinessObjects to recommend policy changes.
Update system configurations for health policy administration. Qualifications:
High school diploma or GED required; Associate's or Bachelor's preferred. CPC or CPC-A required within 12 months of hire. 4+ years in provider payment, claims, or medical coding. Strong knowledge of ICD-10, HCPC, CPT.
Detail-oriented with strong organizational and project management skills. Fully remote eligible with core business hours 8 AM - 5 PM Central. Candidates in Iowa or South Dakota preferred. Must provide high-speed internet at home work location. Wellmark is an Equal Opportunity Employer committed to diversity and inclusion.
Wellmark Blue Cross Blue Shield
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, built on over 80 years of trust. We prioritize member well-being over profits, with a focus on sustainability and innovation.
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