p>Duties and Responsibilities: • Assist in managing the Employer Stop Loss referral mailbox • Assist with new and renewal group set up in Medical Underwriting ESL Office (Stop Loss Software) including uploading documents and entering data for identified risks • Manage Renewal Assignment report for the Medical Risk Consultant Team; weekly update of Renewal Assignment report with group sale notifications/data • Run various reports for nurses, auditors, and management as requested • Perform data review to identify pertinent data for medical risk reviews (ie: various Excel functions including pivot tables and charts; formulas; data cleaning, data sorting; report preparation for reviews) • Upload pertinent documents into AMS Profiler.
Qualifications, Skills and Experience:
1+ years of medical stop loss support experience, preferred Knowledge of medical billing codes (ie: ICD10, CPT, HCPCS, REV, NDC) Experience in Medical service industry (ie: medical office staff, acute care setting, home health care, insurance, stop loss) Ability to work in high volume, rapid response environment Ability to multi-task and shift priorities as needed Exceptional attention to detail and strong organizational skills are imperative Excellent verbal and written communication skills Demonstrated excellence with Microsoft Excel Experience with Excel; PDFs; AMS; David Young System (or similar software supporting stop loss), preferred.