Conlan Analyst

About the role

In this role you will be assisting with reviewing incoming correspondence and processing Conlan Reimbursement Claims for the Member community of Medi-Cal. This combines your passion for helping others with purpose, teaming with people who thrive on finding innovative solutions.

Responsibilities

• Process Conlan Claims in accordance with existing Court Order Guidelines.
• Ensure all Member Reimbursement request letters, incomplete, approvals, and denials are reviewed for completeness, accuracy, and compliance prior to release.
• Conduct Letter Review and Analysis for received correspondence.
• Generate acknowledgment and claim status letters to submitters-Correspondence.
• Maintain and submit weekly production inventory reports.

Requirements

• High school diploma or G.E.D.
• Minimum 1 year of customer service and/or medical related experience.
• Ability to follow stringent protocols for policy operations.
• Experience working with organizational functions and personnel.
• Experience working with computer software and telephone technology and skilled in the use of help desk software.