Correspondence Representative II (3811)

Purpose of Position:

Send written correspondence and communicate with clients via phone to obtain, review and process enrollment materials for participants of CaliforniaChoice.

Essential Functions:

Expert knowledge of all MPC Enrollment Rep I duties. Demonstrate knowledge of Correspondence duties as determined by department assessment as well as the following:

• Understand company policies and procedures as they apply to CaliforniaChoice plans.
• Responsible for the review and processing of the following forms including but not limited to:
  • Employee Applications
  • Change Request Forms
  • Employee Termination Forms
  • Web Based Forms
• Identify and obtain missing/incomplete information on forms based on guidelines and standard operating procedures.
• Follow the department Pending Item process
• Compose clear and concise written correspondence (i.e. pending item requests, denials, confirmations, memos, letters, etc.).
• Place outbound calls to obtain missing/incomplete information on forms.
• Maintain working knowledge of all products and systems used for job function (i.e. Pegasus, doc-link, SharePoint, etc.)
• Enter appropriate comments in a clear and succinct manner into Pegasus and/or Doc-Link.
• Meet department standards for quality and quantity of work.
• Maintain department and team standards for turnaround times.
• Adhere to all PHI (Personal Health Information) guidelines
• Assist with departmental training needs as needed
• Onsite or remote regular attendance and punctuality are essential functions of the job.
• Performs other business tasks or functions as assigned.