Medical Records and Data Entry Specialist

Company Description About VIVIO VIVIO Health, a Public Benefit Corporation, is revolutionizing pharmacy benefits management through data and technology. Our foundational principle - "The Right Drug for the Right Person at the Right Price" - drives everything we do. Since 2016, our evidence-based approach has delivered superior health outcomes while reducing costs for self-insured employers and health plans. By ensuring each patient receives the most appropriate medication for their specific condition at a fair market price, we're replacing the obsolete PBM Model with innovative solutions that work better for everyone. Why Join VIVIO? Innovation: Challenge the status quo and shape healthcare's future Impact: Directly influence patient care and help change healthcare delivery Mission: Join an organization that has a clear vision and mission. Collaboration: Work with passionate teammates dedicated to making a difference Growth: Expand your opportunities as we expand our business Job Description We are seeking a detail-oriented Medical Records Processor (Faxes) and Data Entry Specialist to join our team. In this role, you will be responsible for reviewing, processing, and sending medical records to ensure members’ therapy plans are accurate, complete, and properly documented. This position plays an important role in maintaining high standards of care by ensuring medical documentation is accurately reviewed, organized, and processed in a timely manner. Key Responsibilities Process, review, and index medical records and supporting documentation to ensure accuracy, completeness, and relevance to members’ therapy plans. Ensure that all documents are properly uploaded, categorized, and maintained in the system according to established protocols. Enter claims into the system as needed, ensuring accuracy and completeness of all claim information. Verify receipt of required documentation by contacting specialty pharmacies or healthcare providers as needed. Identify missing information, discrepancies, or incomplete documentation and take appropriate steps to resolve them. Make outbound calls to specialty pharmacies or healthcare providers to obtain missing documentation or clarify discrepancies. Maintain accurate and organized records, ensuring all information is current and properly documented in the system. Process and categorize medical documents to ensure efficient filing, retrieval, and tracking. Ensure all records are handled in compliance with privacy and confidentiality standards, including HIPAA requirements. Maintain a high level of attention to detail while meeting productivity and turnaround expectations. Collaborate with internal teams to support the efficient flow of information and optimal member care. Qualifications Required Strong attention to detail and organizational skills. Ability to manage multiple tasks and work efficiently in a fast-paced environment. Ability to work independently and take ownership of assigned responsibilities. Comfortable making outbound calls to healthcare providers and specialty pharmacies to obtain or confirm documentation. High school diploma or GED required. Availability to work a full-time schedule between 9:00 AM ET and 8:00 PM ET. Preferred Previous experience processing or managing medical records, fax processing, claims entry, or healthcare data entry. Familiarity with HIPAA guidelines and medical documentation standards. Additional Information Base pay $20/hour Full time Health Benefits PTO 401K employer match Opportunity to work for a growing and innovative company. Dynamic and collaborative work environment. The chance to make a real impact with a Public Benefit Corporation. VIVIO Health is an Equal Opportunity Employer and does not unlawfully discriminate based on any status or condition protected by applicable federal, state, or local municipal law. All your information will be kept confidential according to EEO guidelines. Please be advised that job opportunities will only be extended after a candidate submits a completed job application and undergoes a thorough interview process, including 1:1 and/or group interviews via phone, video conferencing, and/or in-person. All legitimate correspondence from a VIVIO employee will come from our Smart Recruiter Applicant Tracking System "@smartrecruiter.com" or "@viviohealth.com" email accounts. #J-18808-Ljbffr The Voluntary Protection Programs Participants' Association, Inc