Documentation Review Specialist

Responsibilities

• Review medical expenses and insurance premiums to ensure they meet documentation and eligibility requirements, accurately applying internal policies and guidelines while meeting established quality and productivity standards.
• Protect confidential information and comply with HIPAA privacy requirements.
• Communicate and collaborate effectively with your team.
• Audit and adapt to changes in processes and priorities.
• Assist with special projects and other duties as assigned.

Qualifications

• Comfortable with focused, independent work and reviewing similar types of submissions throughout the day.
• Strong attention to detail, organizational, and time-management skills.
• Strong problem-solving skills and the ability to make accurate decisions using established guidelines.
• Excellent written and verbal communication skills.
• Comfortable learning and using multiple technology platforms.
• Reliable, dependable, and able to work independently.
• Comfortable asking questions and seeking guidance when needed.
• Adaptable and comfortable in a fast-paced environment.

Preferred Qualifications

• Experience with HRAs, health benefits, insurance, healthcare, or documentation review.
• Experience handling confidential or sensitive information.