· Health insurance background
· Claims and Enrollment background plus
· Trizetto- a plus not required
· Must have the ability to document SOPS
· Information mapping skills a plus
* Bachelors Degree
* 3-5 years related experience with a focus in research, report writing and documentation required.
* Develop clear and concise messages to convey information /explanations to providers/provider offices and members regarding claims status, claims adjudication actions, member benefits and eligibility.
* Translate current “in-house” terminology into easily understood messages
* Conduct internal interviews to obtain necessary information
* Coordinate review and approval process with internal and external interested parties, including Legal, Corporate Communications, Physician and Provider Advisory groups
* Ensure messages comply with any applicable regulatory requirements.
IPSource is strategic forces solutions company that provides professional services and general staff, to help businesses grow more effectively, deploy and manage people and the work they do. We have screened and placed hundreds of people in temporary, temp-to-hire and full time in past few months.