New Policy Specialist processes incoming applications for new and renewing policies to include changes/updates according to company guidelines for group health, dental and/or life policies. Responsibilities include reviewing and screening requests, calculating new premiums, issuing new policies and associated documentation. Being a New Policy Specialist serves assigned accounts by responding to inquiries and resolving issues of concern. May handle more complex situations or issues. Additionally, New Policy Specialist requires a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The New Policy Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a New Policy Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Job Summary: The Correspondence Specialist is responsible for processing requests for medical information from various internal and external sources. Provides customer service and health information to the requesting party by mail, telephone, fax, and in person. Keeps abreast of and ensures compliance with current state, federal and hospital regulations regarding release and confidentiality of patient information. Assists the Risk Manager in court proceedings. Provides general office support and performs other job-related duties as requested.
Specifications: High School diploma required; Associates degree or at least two years of previous related experience required. Basic knowledge of medical terminology is required. Must have knowledge of word processing and other computer applications. Knowledge/experience in health information applications preferred. Knowledge of Release of Information regulatory requirements preferred. Must have excellent interpersonal skills, and possess good organizational skills. Must be proficient in communicating the English language. Must be able to work independently without supervision.
Care New England Health System (CNE) and its member institutionsButler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Centerare trusted organizations fueling the latest advances in medical research, attracting the nations top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values
WIH Internal Posting Period: 5/1/24 - 5/10/24