Remote Underwriting Specialist I – Health Care Outreach

Cambia Health Solutions, Inc.; Vancouver (WA); A distancia; USD 25.000 - 37.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health coverage

401(k) match

Paid time off

Parental leave

Descripción de la vacante

Cambia Health Solutions, Inc. is seeking an Underwriter Specialist I for a remote role. The position focuses on outreach to members to encourage visits and accurate coding for risk adjustment processes, while ensuring eligibility and policy-related inquiries are handled professionally.

The role requires attention to detail, strong communication skills, and the ability to work with complex systems and plan rating tools. A collaborative team environment and remote work flexibility are offered.

Formación

• High school diploma or GED required.
• Experience in medical office, customer service, or call center is preferred.
• Knowledge of medical terminology is a plus.

Responsabilidades

• Perform outreach to identified members and providers via 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 release to Membership for activation.
• Produce correspondence, audit all outgoing correspondence and research miscellaneous correspondence.
• Make, receive and document phone calls.
• Apply changes to Underwriting, State or Federal policies to ensure current requirements are met.
• Track production statistics.
• Comply with MTM and HIPAA Privacy standards.

Conocimientos

Typing 30 wpm

Microsoft Office

Organization

Communication

AI tools

Educación

High School diploma or GED

Herramientas

Plan rating tool

Descripción del empleo

Cambia Health Solutions, Inc. is seeking an Underwriter Specialist I for a remote role. The position focuses on outreach to members to encourage visits and accurate coding for risk adjustment processes, while ensuring eligibility and policy-related inquiries are handled professionally.

The role requires attention to detail, strong communication skills, and the ability to work with complex systems and plan rating tools. A collaborative team environment and remote work flexibility are offered.