Remote Underwriting Specialist I - Health Care Impact

Cambia Health Solutions, Inc.; Lewiston (ID); Remote; USD 25,000 - 41,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

401(k) with company match

Paid time off

Paid holidays

Job summary

Cambia Health Solutions, Inc. is seeking an Underwriting Specialist I for a remote role, supporting risk adjustment and care management. Responsibilities include outreach to members, processing applications, and handling customer inquiries with careful attention to policy compliance.

Qualifications include a high school diploma or GED and 1 year in medical office or call center settings. Strong communication and MS Office skills are essential, with AI tools experience highly valued.

Qualifications

• High School diploma or GED required.
• At least 1 year of medical office, customer service, or call center experience.
• Type at least 30 wpm with 95% accuracy.
• Proficient in Microsoft Office (Word, Excel, Outlook) and able to learn complex systems.
• Knowledge of medical terminology preferred.
• Experience with AI tools and technologies highly desired.

Responsibilities

• Outreach to identified members and providers by phone, email, or letter to encourage health care visits.
• Prepare and validate processed files for imaging and retention; coordinate document retention and storage.
• Enter document numbers for approved files into tracking system and finalize approvals.
• Produce correspondence, audit outgoing mail, and document department communications.
• Make and document phone calls.
• Incorporate changes to Underwriting and policies to ensure current requirements.
• Track production statistics.
• Comply with MTM and HIPAA Privacy standards.

Skills

Judgment & discretion

Typing speed

MS Office

Organization & multi-tasking

Communication skills

Medical terminology

AI tools

Education

High School diploma or GED

Tools

Microsoft Office

Job description

Cambia Health Solutions, Inc. is seeking an Underwriting Specialist I for a remote role, supporting risk adjustment and care management. Responsibilities include outreach to members, processing applications, and handling customer inquiries with careful attention to policy compliance.

Qualifications include a high school diploma or GED and 1 year in medical office or call center settings. Strong communication and MS Office skills are essential, with AI tools experience highly valued.