About the Role:
- Support Medical Policy Team’s operations, including creating and managing timelines.
- Verify monthly authorization table updates align with quality expectations and track performance metrics.
- Support Medical Policy Committee operations, including taking minutes and developing agendas.
Qualifications:
- High school diploma or GED.
- 4+ years of experience in provider payment, claims or medical coding.
- Demonstrates coding knowledge – e.g. ICD-10, HCPC, CPT.
What you will do:
- Monitor and triage Medical Policy inbox for external inquiries and creating of SharePoint forms for internal inquiries.
- Ensure that all documentation related to health policy decisions, changes, implementations, and communications are complete.
- Update system configurations to ensure accurate administration of health policies.
Wellmark Blue Cross Blue Shield
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, built on over 80 years of trust. Motivated by the well-being of members, they are committed to service, sustainability and innovation.