Healthcare - HEDIS Medical Record Collector
Saviance
HEDIS Medical Records CollectorMolina's HEDIS/Quality Improvement Medical Records Collector will work collaboratively in outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up, for the HEDIS projects.Main duties & responsibilities of the role:Under the direction of the national and/or regional lead, the Medical Records Collector supports the annual HEDIS audit and other HEDIS like audits, by organizing provider outreach, pursuit, collection and upload of provider medical records into the internal database.Assisting with project management by coordinating the identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff.Assists the Manager and Supervisor(s) and / or performs the coordination and preparation of the HEDIS medical record collection process that includes the pursuit via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up.Participates in meetings with vendors for the medical record collection process.Collects medical records and reports from provider offices, loads data into the HEDIS application. Onsite Medical record collection may be required for all staff.Required experience/knowledge, skills & abilities:1 year customer service experienceBasic computer skills (e.g. Microsoft Office)Proficiency in data analysis tools (e.g. Microsoft Excel)Ability to manage files, schedules and information efficientlyWorking in chart retrieval projects, calling provider offices, faxing, reviewing/scrubbing/renaming and uploading charts, researching provider office and member information in internal and external systems. Collaborating with team to meet deadlines and timelines for projects with high visibility. Could include onsite visits to collect medical records.Preferred experience/knowledge, skills & abilities:1 season/year medical record collection experience1-year managed care experienceBasic knowledge of HEDIS and NCQARequired license, certification, association:Must have a valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
$2,400 - $10,000 per month
...outcomes. CCS, on behalf of SME Medical Delaware, P.A., is calling on... ...of CMS Regulations and NCQA HEDIS Guidelines Knowledge of... ...are documented in the medical record in a manner compliant with CMS... ...prior to hire, with recommended Healthcare Personnel Requirements for...HEDISDaily paidLocal areaRemote work- ...may include calling providers to request medical records, visiting Massachusetts provider... ...experience. ~1-3 years experience in healthcare with minimum 1 year experience improving... ...and SWH NCM. To assist other Molina HEDIS efforts, the staff requests, retrieves...HEDISWork experience placement
- ...Analytics About the Company Prominent healthcare system Industry Hospital &... ...Dialysis Dialysis Centers Medical Care Outpatient Association... ...demands a leader with a proven track record in areas such as HEDIS, Medicare Stars, and CAHPS, as well...HEDIS
- ...eternalHealth – The Next Generation of Medicare Advantage Healthcare is confusing, but it doesn’t need to be. eternalHealth is a consumer... ...departments, providers, and delegated entities to drive performance on HEDIS®, CAHPS®, STAR Ratings, and other quality measures, while...HEDIS
$99k - $232k
...making a significant impact in healthcare.Responsibilities- Apply... ...development- Familiarity with NCQA HEDIS specifications and CMS Star... ...range of benefits, including medical, dental, vision, 401k, holiday... ..., arrest or conviction records will be considered for Employment...HEDISFull timeH1b$121k - $207k
...ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.Position Summary:Lead the development and execution of... ...engineering teams.Familiarity with value-based care concepts, HEDIS measures, or quality gap programs is a plus.Experience with...HEDISFull timeTemporary workWork at office- ...role requires effective communication skills and proficiency in healthcare standards. The ideal candidate will have a high school diploma... ...sector. The position emphasizes resolving billing discrepancies and maintaining accurate records. #J-18808-Ljbffr Cataldo AmbulanceFull time
- ...contacting clients about delinquent accounts, and maintaining accurate records of all actions taken. The role requires a high school diploma... ...3-5 years of Accounts Receivable experience, preferably in medical billing. Strong interpersonal skills and knowledge of HIPAA are...
- ...FLSA Status: Exempt Position Summary The Medical Director oversees all medical and... ...medical advancements into the organization's healthcare offerings. Key Responsibilities Medical... ...quantitative outcome measures that meet HEDIS requirements and validate Plan performance...HEDISContract workWork at officeLocal areaRemote work
$54.1k - $155.54k
.... This person must be comfortable presenting HEDIS gaps in care data to provider groups, including HEDIS (Healthcare Effectiveness Data and Information Set) measure... ..., reviewing, abstracting, and data entering medical records utilized for HEDIS supplemental data...HEDISFull timeWork at officeRemote workWork from homeMonday to Friday$17 per hour
...monthly commission opportunities Consistent Monday–Friday schedule Medical, dental, vision, GAP, and life insurance 401(k) with company... ..., collections specialist, collections representative, healthcare collections, medical collections, customer service, customer support...Hourly payFull timeImmediate startRemote workMonday to Friday- ...various sources, including electronic health records (EHRs), claims databases, registries,... ...(e.g., Tableau, Power BI). Knowledge of healthcare data standards and coding systems (e.g.,... ...Commission. Prior knowledge or coding HEDIS and other healthcare industry metrics used...HEDIS
- ...dentistry, laboratory, pharmacy, radiology, and medical specialties including HIV care, substance... ...: expanding our patient panel, improving HEDIS quality metrics, and establishing CSHC's... ...Epic EHR or comparable electronic health record system Preferred At least 1-2 years...HEDISPermanent employment
- ...following processes to ensure compliant release of records, request for records and accurate data entry into CCA's Electronic Medical Record (EMR) Request and review EMR from... ...from outside EMRs in preparation of HEDIS review, ACA and MDS assessments. Request and...HEDISFull timeWork at office
- ...resolution of application issuesInterpret and translate payer and HEDIS quality measure specifications into Epic build and... ...data that underly themExperience working with Electronic Health Records, medical claims, and other health care dataDemonstrate competent and effective...HEDISWork at officeFlexible hours
$62.29k - $65k
...invoicing & dispute resolution. Company Overview At FUJIFILM Healthcare Americas Corporation, we’re on a mission to innovate for a healthier... ...all applicable U.S. Food and Drug Administration (U.S. FDA) medical device regulatory requirements, applicable ISO 13485 standard...Work experience placementLocal areaRemote workFlexible hours$78.8k - $177.68k
...Opportunity, MedInsight is one of the healthcare industry’s most trusted... ...TPAs, and ACOs. Proven track record managing large, complex... ...metrics and frameworks, such as HEDIS, population health, risk adjustment... ...well-being. Benefits include:Medical, Dental and Vision - Coverage...HEDISFull timeWork experience placementRemote workFlexible hours- ...Medical Collections SpecialistThe Medical Collections Specialist is responsible for managing outstanding patient account balances by... ...medical billing or collections experience preferred.• Knowledge of healthcare billing, insurance, Medicare, Medicaid, and commercial...Work at office
- KabaFusion, LLC. is seeking a Medical Collections Specialist in Lexington, MA. In this role, you'll manage outstanding patient accounts... ...environment focused on patient care and innovation. If you are ready to make a difference in healthcare, apply now! #J-18808-Ljbffr
- ...Medical Collections SpecialistCome join an exciting and innovative company that puts the "care" back in healthcare! Why do Medical Collections Specialists want to work here? The reason people love working for KabaFusion is because of the impact we have on our patients...Temporary workWork at office
- What will I do? Maintain the appearance and safety of the parking lot, gather shopping carts and pick up garbage Engage customers in friendly conversation while making eye contact and smiling Proactively offer additional assistance or services and thank the customer for...Seasonal work
$21.09 - $23.31 per hour
...processing samples, and ensuring compliance with established protocols. Candidates should possess a high school diploma and prefer medical training or phlebotomy certification. Customer service experience is an advantage, and you will be part of a supportive team. Working...Hourly payMonday to Friday$95k - $115k
...settlements when appropriate Maintain accurate and up-to-date records of collection activities, communications, and account statuses... ...be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement...Work at officeLocal areaRemote work- Description: Under the supervision of the Collections Manager, performs a variety of financial and regulatory tasks to collect delinquent Residential, Consumer and Commercial loans ensuring compliance with all state and federal lending regulations. This is a ...Hourly payWork experience placementWork at officeLocal area
$60k - $70k
...such as hybrid work arrangements (after an introductory period), Medical, Dental, Vision, 401(k), Life Insurance, Health Savings Account... ...timely resolution and communication. Maintain up-to-date records in ARCS, track flagged emails, and send follow-up reminders to...Daily paidFlexible hours- ...to address complex account issues and disputesMaintain detailed records of all collection activities, including customer interactions,... ...transactionsPreferred:Professional certification such as Certified Commercial Collector (CCC) or Credit Business Associate (CBA)Experience with...Full timeWork at office
$21 per hour
Doorstep Trash Collection SpecialistPart-time evening work close to home. Service one or more nearby apartment communities with no long-distance driving or off-site dumping.We're hiring part-time Doorstep Trash Collection Specialists (Service Valets) to help keep apartment...Extra incomeFull timePart timeSecond jobLocal areaImmediate startWork from homeLong distanceShift workNight shiftWeekend workDay shiftAfternoon shift- ...accurate and payments are appropriately applied. Maintain detailed records of collection activities and account status updates. Generate... ...identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran...Work at officeLocal area
- ...work toward resolution Coordinate internally to resolve issues impacting payments CRM Management & Documentation Maintain accurate records of all calls, follow-ups, and outcomes in CRM (Salesforce or similar) Track customer interactions, payment commitments, and next steps...Full timeRemote work
$25 - $27 per hour
...identifying, researching, and updating object records; developing provenance and technical... ...vaccinations as applicable. Exception: Medical and religious accommodations approved by... .... Wellness benefits through Cigna Healthcare. Free access to 16,000+ online courses...Hourly payPermanent employmentFull timeWork experience placementSummer workWork at office
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