Note: The job is a remote job and is open to candidates in USA. CVS Health is dedicated to building a world of health around every individual, and they are seeking a Health Insurance Notice of Action (NOA) Letter Writer. This role is responsible for creating clear and compliant letters to health plan members regarding their healthcare services or benefits.
Responsibilities
- Write and edit NOA letters that explain decisions about healthcare services, coverage, or benefits
- Use templates and guidelines to ensure letters are accurate and compliant with AHCCCS and other applicable regulations
- Work with internal teams (such as clinical, legal, and customer service) to gather necessary information
- Ensure letters are written in plain language and are culturally sensitive and easy to understand
- Meet strict deadlines for letter completion and delivery
- Maintain confidentiality and follow HIPAA and other privacy regulations
- Assist with audits and quality checks of outgoing letters
- Support the prior authorization department and Notice of Action Department by writing member letters and provider faxes
- Call on providers and members to get the needed information to complete the notifications
- Manage high volumes of member letters and/or provider faxes, averaging 3000–4000 per month
- Write medical, pharmacy, dental, and behavior health letters and ensure they are mailed out within the 24-hour, 72-hour, and 14-day regulatory timeframes
Skills
- 1+ year of experience working with medical terminology, as well as an understanding of basic spelling and grammar rules
- Ability to work from Monday-Friday from 8:30am-5pm (Pacific Time or Arizona Time), as well as a rotating Saturday shift, occurring every five weeks
- High school diploma or GED
- Strong written communication and grammar skills
- Ability to understand and explain complex information in simple terms
- Attention to detail and strong organizational skills
- Comfortable working with templates, forms, and computer systems
- Ability to work independently and manage time effectively
- Experience in healthcare, insurance, or customer service
- Familiarity with AHCCCS, MCA (Medicare Coverage Analysis), and Medicare
- Bilingual or multilingual skills
Benefits
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility
Company Overview