Stop Loss Document Specialist

Amherst Center, MA - USA

Monthly Salary: $ 17 - 19

Experience Required: 1-3years

Posted on: 2 hours ago

Vacancies: 1 Vacancy

Job Summary

Job Title:

Stop Loss Document Specialist

Status: Non Exempt/Hybrid

Why this role is important:

The Document Specialist plays a key support role in the Stop Loss submission process by gathering organizing and coordinating all necessary documentation to ensure timely and accurate claim submissions. This position works closely with the Stop Loss Submission Coordinator Stop Loss Administrators and external carriers to support efficient processing follow-up and appeals.

What youll do:

Collect and organize all ancillary documents required for stop-loss claim submissions including but not limited to medical records EOBs and claim histories.
Notify the Stop Loss team once all required documentation has been gathered and the submission is ready for processing.
Respond to carrier requests by gathering and providing any additional documentation or clarifications needed after their initial review.
Support the Stop Loss Coordinator by obtaining all necessary information for claim appeal packages in cases of denial or partial funding.
Maintain accurate tracking and version control of all documents to ensure compliance and timely response.
Collaborate with internal departments (e.g. claims case management client services) to source missing or clarifying materials.
Uphold data privacy standards and ensure secure handling of all protected health information (PHI).

What youll bring:

High school diploma or equivalent
Minimum of 1-2 years of work experience
Strong attention to detail and organizational skills
Ability to manage multiple priorities and deadlines in a fast-paced environment
Intermediate knowledge of Microsoft Excel including formulas and data organization.
Excellent written and verbal communication skills

Compensation Range:

$17/hr - 19/hr

Physical Requirements:

Prolonged period sitting at a desk and working on a computer and the ability to lift 15 pounds.

Requirements

What youll bring:

High school diploma or equivalent
Minimum of 1-2 years of work experience
Strong attention to detail and organizational skills
Ability to manage multiple priorities and deadlines in a fast-paced environment
Intermediate knowledge of Microsoft Excel including formulas and data organization.
Excellent written and verbal communication skills

Required Skills:

What youll bring: Bachelors degree in paralegal studies or related field preferred. Paralegal certificate required. Excellent verbal and written communication skills. 3 years of legal work in a TPA or related industry. Previous contract experience. Understanding of legal language and principles research methods court pleadings and processes and other related matters. Excellent organizational and interpersonal skills. Excellent attention to detail. Ability to function in a fast paced and at times stressful environment. Ability to maintain confidentiality and to exercise discretion and good judgment. Proficient in Microsoft office suite or related software.

Required Education:

Paralegal Certificate

Job Title:Stop Loss Document SpecialistStatus: Non Exempt/HybridWhy this role is important:The Document Specialist plays a key support role in the Stop Loss submission process by gathering organizing and coordinating all necessary documentation to ensure timely and accurate claim submissions. This p...

Job Title:

Stop Loss Document Specialist

Status: Non Exempt/Hybrid

Why this role is important:

What youll do:

Collect and organize all ancillary documents required for stop-loss claim submissions including but not limited to medical records EOBs and claim histories.
Notify the Stop Loss team once all required documentation has been gathered and the submission is ready for processing.
Respond to carrier requests by gathering and providing any additional documentation or clarifications needed after their initial review.
Support the Stop Loss Coordinator by obtaining all necessary information for claim appeal packages in cases of denial or partial funding.
Maintain accurate tracking and version control of all documents to ensure compliance and timely response.
Collaborate with internal departments (e.g. claims case management client services) to source missing or clarifying materials.
Uphold data privacy standards and ensure secure handling of all protected health information (PHI).

What youll bring:

High school diploma or equivalent
Minimum of 1-2 years of work experience
Strong attention to detail and organizational skills
Ability to manage multiple priorities and deadlines in a fast-paced environment
Intermediate knowledge of Microsoft Excel including formulas and data organization.
Excellent written and verbal communication skills

Compensation Range:

$17/hr - 19/hr

Physical Requirements:

Prolonged period sitting at a desk and working on a computer and the ability to lift 15 pounds.

Requirements

What youll bring:

High school diploma or equivalent
Minimum of 1-2 years of work experience
Strong attention to detail and organizational skills
Ability to manage multiple priorities and deadlines in a fast-paced environment
Intermediate knowledge of Microsoft Excel including formulas and data organization.
Excellent written and verbal communication skills