Correspondence Review Clerk Job Description Sample
Correspondence Review Specialist
Review all incoming documentation to the Institutional Services division, in line with FINRA requirements requiring approval by an authorized firm principal. Subject matter expert related to the regulatory requirements needed for a variety of services and transactions.
Review documentation to ensure that it is compliant to company procedures and the rules and regulations of the securities industry
When necessary, compose written assessments that clearly and concisely convey deficiencies, additional requirements, and/or provide solutions or alternatives for resolving client issues of varying complexity
Recognize potential problems and high risk accounts and escalate them accordingly
Research, resolve and follow-up on applicable transfers, cash movements, document restrictions on accounts and release restrictions when issues are resolved
Analyze all paperwork received, document and notify clients of pending issues, work closely with clients for resolution, and accurately process accounts, as they are resolved
Keep current with industry regulations, company policies, & Institutional products/services to effectively enforce compliance and manage risk
Serve as a subject matter expert to 2 or more back office specialty areas and perform basic functions in all areas + 2-3 years related experience + 3+ years total experience
Military education or experience may be considered in lieu of civilian requirements listed
Minimum of 2+ years of Operations or Advisor Services experience required
Proficiency in Microsoft Word, Excel and Outlook required
Mastery experience in 1 back/middle office function (cash management, Transfers, New Accounts) required
Research and resolution experience preferred
Series 7 and 63 (or equivalent) required, Series 24 preferred or must be able to obtain within 90 days + 2 Year College Degree required + 4 Year College Degree preferred
Military education or experience may be considered in lieu of civilian requirements listed
Correspondence Review Nurse I (Baton Rouge, LA Or Lafayette, LA)
Description: Position Purpose:
- Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations + Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings + Collaborate with various staff within provider networks and discharge planning team electronically, telephonically, or onsite to coordinate member care + Conduct discharge planning + Educate providers on utilization and medical management processes + Provide clinical knowledge and act as a clinical resource to non-clinical team staff + Enter and maintain pertinent clinical information in various medical management systems
Qualifications: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to emergent/urgent and continued stay reviews. Education/Experience: Graduate from an Accredited School of Nursing. Bachelor s degree in Nursing preferred. 2 years of clinical nursing experience. Acute care experience preferred Knowledge of healthcare and managed care preferred. Ability to follow complex procedures for composition of denial letters. Highly Preferred. Ability to follow clinical guidelines on which adverse decisions are based. Highly Preferred. Experience to complete accurate adverse decision notifications within specific timeframes. Highly Preferred. Licenses/Certifications: Current state s LPN/LVN or RN license. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Job:Clinical & Nursing
Organization:LA Healthcare Connections
Responsibilities: To accurately receive, review, scan and forward correspondence.
Ensuring that all federal & state regulations, contractual compliance and company guidelines and standards are met. Additionally ensure that all deadlines are met, as dictated by client contracts, department & company policies and any/all regulatory or compliance requirements. Review all incoming mail, prioritizing by urgency and importance as per department & client guidelines.
Process and scan all correspondence efficiently and accurately. Enter appropriate status codes on the system, updates current account information, and generates letters. Distributes designated media to other departments as appropriate.
Counts and logs daily production. Completes all other tasks and duties as assigned. Required Skills and
High level of ability in multi-tasking and prioritizing workload. Must have flexibility and able to adapt to ever changing needs and requirements. MS Excel & Word skills.
Able to meet or exceed deadlines. Able to work efficiently independently and complete any/all workload as assigned by department management. Strong communication in both verbal & written business language skills.
Responsible, dependable, conscientious, detail oriented and reliable. Physical
Sit/stand/walk 8-12 hr/day Lift/carry/push/pull under and over 10 lbs occasionally Keying frequently, handling, reaching, fine manipulation Experience and Education: 2-3 years general office work experience & environment High School diploma preferred Performant Financial Corporation is an Equal Opportunity Employer.
Performant Financial Corporation is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. NO AGENCY SUBMISSIONS
Supervision Specialist II - Correspondence Review (Icd)
Job Summary: Under limited supervision uses specialized knowledge and skills obtained through experience, specialized training or certification to administer and analyze various compliance and suitability reviews to detect trends, trading patterns, and possible rules violations to ensure adherence to securities industry regulations and limit firm liability.
Approves day-to-day trading activity. Leads defined work or projects of moderate scope and complexity. Essential Duties and
Conducts compliance and suitability reviews, and monitors trading activities, through the use of various reports and systems. Pro-actively monitors and ensures that trading activities in clients' accounts meet the objectives of those accounts. Reports findings and manages concerns in a professional manner.
Interfaces with sales management associates to inform them of any supervisory concerns that may arise with branch office managers/FAs and works together with them to address these concerns as well as to resolve any conflicts that may arise related to client accounts. Monitors and keeps up to date with regulations regarding trading activity in client accounts and applies them accordingly. May participate in the formation of policies related to compliance.
Performs other duties and responsibilities as assigned. Knowledge, Skills, and Abilities: Knowledge of:
Investments and trading, securities industry regulations, and client suitability (all at a level consistent with the Series 24 and/or 9/10 licensing as required by functional area). Familiarity/facility with RJ and its systems is preferable. Company's working structure, policies, mission, and strategies. General office practices, procedures, and methods.
Suitability and other compliance issues involved with branch manager/FA trading activity. Skill in: Operating standard office equipment and using required software applications to produce correspondence, reports, electronic communication, spreadsheets, presentations, and databases.
Critical thinking and decision-making, involving the interpretation of regulatory rules and compliance policies. Detail orientation to ensure the regulatory liability is limited, without impairing workflow. Utilizing business-appropriate phone manners.
Ability to: Independently manage and complete multiple projects and tasks; work independently with minimal direct supervision. Use appropriate interpersonal styles and communicate effectively and professionally, both orally and in writing, with all organizational levels including branch managers/FAs.
Establish and communicate clear directions and priorities. Provide a high level of customer service. Educational/Previous Experience
Bachelor's degree (B.A) in a related discipline and a minimum of 3 years experience in retail securities sales, sales management, operations, or compliance. or Any equivalent combination of experience, education, and/or training approved by Human Resources. Licenses/Certifications: Series 7 license required.
Series 24 licenses required or ability to obtain within designated timeframe. Series 6 and 26 may be accepted in place of 7 and 24, depending on assigned functional area. Additional licenses required for assigned functional area such as Series 9/10, Series 53 and/or Life, Health & Variable Annuity Insurance License, or ability to obtain within designated timeframe. SDL2017
Assoc Correspondence Clerk
Assoc Correspondence Clerk
New Heritage Healthcare Requisition # R265343
Working under the direction of the Claims Director, this position is responsible for consistent and accurate distribution of claims correspondence while meeting the timeliness and accuracy standards set forth by CMS, Department of Managed Care, AB1455 and the Claims Department polices and procedures.
Essential Values-Based, Leadership and Management Competencies: Demonstrates values-based competencies in line with the four core values that are the foundation of all activities performed by employees in order to achieve the Mission of the St. Joseph Health System.
Dignity: Demonstrates competence in communication and interpersonal relations. Excellence: Demonstrates competence in continuous improvement, continuous learning, accountability, and teamwork. Service: Demonstrates competence in customer/patient focus and adaptability.
Justice: Demonstrates competence in community orientation and stewardship. (As defined on the attached Values-Based Competency Model Form.) Essential Functions: • Reviews and finalizes all claims denied as member responsibility and accurately generates denial letters while achieving and maintaining a 100% accuracy rate for all letters generated. • Enters and finalizes claims to be forwarded to the health plans and generates forwarding letters for all claims that need to be manually forwarded to Health Plans while achieving and maintaining a 95% accuracy score. • Reviews and processes audit errors on a daily basis. • Alerts Claims Management of all claims issues that would impact any Healthplan compliance. Additional
• Other duties may be assigned as needed. Minimum Position
Requires High school diploma or equivalent. Licensure/Certification: None. Experience: • 1 year prior experience in an IPA, Medical Group or Health Plan setting.
Should be familiar with the Microsoft windows operating environment. Knowledge / Skills / Abilities: • A working knowledge of an IPA, Medical Group, or Health Plan Claims Department. • Possess basic analytical and problem solving skills. • Demonstrate effective written and oral communication skills, ability to follow instructions, interpersonal skills, and organizational ability and work independently. • Must be able to work as a team player and have a professional demeanor. • Organization and prioritization skills.
Other: 10-key by touch Preferred Position
• 1 year prior experience as a Claims Examiner, Medical Biller, or Coding in an IPA, Medical Group or Health Plan. • Familiarity with computerized claims processing/transaction system. Experience: Previous experience within the Health Care Industry Computer
Previous IDX experience.
Joseph Heritage Healthcare (SJHH) is one of California's most respected medical groups. With over 3,000 employees and 75 locations throughout California, including, Northern California, Orange County, High Desert and Los Angeles County, SJHH has been continually recognized as a leader in quality, customer service and information technology. This kind of success is the result of team work, a commitment to excellence and a strong adherence to the organization's mission, vision and values.
Joseph Heritage Healthcare (SJHH) provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, St. Joseph Heritage Healthcare (SJHH) complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Correspondence Clerk I (Sca)
Correspondence Clerk I (SCA) Job Code:2017-35-4-003Location:San Angelo, TXStatus:Regular Full Time
To accurately receive, review, scan and forward correspondence. Ensuring that all federal & state regulations, contractual compliance and company guidelines and standards are met. Additionally ensure that all deadlines are met, as dictated by client contracts, department & company policies and any/all regulatory or compliance requirements.• Review all incoming mail, prioritizing by urgency and importance as per department & client guidelines.• Process and scan all correspondence efficiently and accurately.• Enter appropriate status codes on the system, updates current account information, and generates letters.• Distributes designated media to other departments as appropriate.• Counts and logs daily production.• Completes all other tasks and duties as assigned.Required Skills and
• High level of ability in multi-tasking and prioritizing workload.• Must have flexibility and able to adapt to ever changing needs and requirements.• MS Excel & Word skills.• Able to meet or exceed deadlines.• Able to work efficiently independently and complete any/all workload as assigned by department management.• Strong communication in both verbal & written business language skills.• Responsible, dependable, conscientious, detail oriented and reliable.Physical
• Sit/stand/walk 8-12 hr/day• Lift/carry/push/pull under and over 10 lbs occasionally• Keying frequently, handling, reaching, fine manipulation
Education and Experience:• 2-3 years general office work experience & environment• High School diploma preferred
Performant Financial Corporation is an Equal Opportunity Employer.Performant Financial Corporation is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.NO AGENCY SUBMISSIONS SDL2017
HIM Correspondence Clerk
Established in 1980, the Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit organization employing over 600 staff whose primary focus is providing the highest quality patient care to a culturally diverse population throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program.
GLFHC is seeking a customer-service oriented, bilingual (English/Spanish) Medical Records Clerk as known as a HIM Correspondence Clerk to join our dynamic and fast paced Health Information Management (HIM) Team. The HIM Correspondence Clerk provide copies of medical records as requested by attorneys, the courts, insurance companies, and patients in a timely manner following legal guidelines, Health Center policies and rules of confidentiality. The HIM Correspondence Clerk is expected to become proficient in the application of legal limits and requirements in release of and requests for medical records.
Scope of Duties: Provide customer service for patients and staff who present themselves to request information from HIM. Ensure completion of release forms and transfer forms, assisting patients as needed to fill out completely.
Open, date stamp, and process mail and faxes daily. Complete appropriate fields of the 'GLFHC Use' box on release form and scan and index all record request forms, subpoenas, court orders, and completed forms into the appropriate Document Type in the patient's electronic medical record (EMR) daily. Produce copies of patients' medical records, as needed for patient requests, subpoenas, court orders, and lawyers, using Checklist for Release of Health Information to carefully review records for sensitive information and HIPAA compliance.
When applicable, exclude sensitive information or obtain additional authorization from the patient. Notify Health Information Director if GLFHC is named in a subpoena or court order. Document non-routine disclosure note in electronic medical record for subpoenas, court orders, and worker's compensation releases that do not require patient authorization, and weekly prenatal updates to the hospital.
Assist court investigators and State investigators by providing records. Requirements
GED/high school diploma Understanding of Medical Terminology required Bilingual (English/Spanish) skills written and oral strongly preferred Correspondence experience preferred but not required. Knowledge of laws and regulations concerning health information.
GLFHC offers a setting that's flexible, rewarding and challenging. If you want to make an impact to the community we serve, apply today Apply On-lineSend This Job to a Friend Programs & Services For Patients The Family Pharmacy Locations Family Medicine Residency News & Events About Public Statement This health center is a Health Center Program grantee under 42 USC 254b and a deemed Public Health Service employer under 42 USC 233 (g)-(n). No one will be denied access to services at GLFHC due to inability to pay; there is a discounted/sliding fee schedule available based on family size and income. Accreditations Copyright © Greater Lawrence Family Health Center All Rights Reserved. Website Design by Jackrabbit SDL2017
Correspondence Clerk - Part-Time
Universal Health Services, Inc. (UHS) is one of thenation's largest and most respected health care management companies,operating through its subsidiaries acute care hospitals, behavioralhealth facilities and ambulatory centers nationwide. Founded in 1978,UHS subsidiaries now have more than 65,000 employees.
The UHSbusiness strategy is to build or purchase health care properties inrapidly growing markets and create a strong franchise based onexceptional service and effective cost control. Our success comesfrom a responsive management style and a service philosophy based onintegrity, competence and compassion. Arbour Hospital, a118 bed (106 Adult/12 Adolescent) private psychiatric facilitylocated in Boston's Jamaica Plain neighborhood; the hospitalalso manages an 18 bed satellite adult psychiatric unit inQuincy.
Arbour Hospital is accredited by The Joint Commissionand licensed by the MA Department of Mental Health. Arbour Hospital is currently seeking a Correspondence Clerk. Thisposition performs the following functions in accordance with Hospitalprocedures and industry standards and regulation.
This is a part-timeposition, Tues-Fri, 11:30-4:30 Description: 1Screens various requests, both written and oral for appropriateness,referring non-medical record requests to the correct department in ahigh percentage (95%) of the time. 2. Answers appropriate statrequests for information or takes action on them within one workingday of receipt. 3. Prior to release, verifies that the requestis valid and does not violate any confidentiality rules, policies orlaws.
In order to meet the performance standard no unauthorizedrelease is acceptable. 4. When patient information is availableand authorization standards have been met will photocopy and mail thedocumentation within ten business days. 5. Maintains anup-to-date log of all information released. 6.
Assists patientsand staff by answering routine questions about confidentialitypolicies and requirements. Routine means ninety percent of the time.More difficult questions should be referred to your supervisor. 7. Serves as resource on medical-legal issues. 8.
Files,Sorts, Scans documentation. 9. Accepts and completes specialprojects as requested by supervisor 10. Meets hospitalattendance policy 11. Meets published standards of punctuality Job Requirements The following are the job requirements forthe
CorrespondenceClerk position: Required: • High School Diploma or equivalent SDL2017
Independent Medical Review Clerk
We are looking for person to handle computer input, clients calls, calls to medical doctors, no experience needed. We will train.
Document Review Clerk
Document Review Clerk easy apply
- apply with indeed
salary:$15 - $16 per hour
date posted:Monday, November 13, 2017
job type:Temp to Perm
questions:firstname.lastname@example.org easy apply
apply with indeed
description Do you have attention to detail, like the challenge of organizing, have a great attitude? Our Document Review Clerk positions could be a great fit for you! Join our winning team as File Associate helping to protect documents and keep consumer information private. You must be able to make sound decisions and be able to review documents and materials in a production based environment, must be able to lift up 25lbs, be able to sit for long periods, and be able to move! The Document Review Clerk position offers a great team environment, where you can sweat the details. We offer competitive pay rates 13$-15$ per hour D.O.E.
Must be able to sit for long periods of time
Accurately review documents and make notations with accuracy
Must be able to meet and exceed production goals Working hours: 8:00 am to 4:30 pm
--High School Diploma /Some College --Interact in a friendly, enthusiastic, energetic and outgoing manner ,Exhibit a great deal of Flexibility --Experience is welcome but not required, you will receive top-notch training DON'T JUST SIT THERE COME AND SWEAT THE DETAILS WITH US! EMAIL YOUR RESUME TO email@example.com CALL ME FOR MORE INFORMATION Mike Dixon (612) 339-0416 Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
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