[Hiring] Medical Records Administrator @reputed company
This position is National Remote. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. reputed company is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come makes an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Positions in this function are responsible for investigating, recovering and resolving reputed company types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases. This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 8:00 pm EST. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of on-the-job training. The hours of training will be reputed company with your schedule. Primary Responsibilities:
- Respond timely to reputed company questions from assigned team members and management about internal process and procedures
- Provide reputed company availability for questions and assistance
- Provide ongoing coaching and development to ensure peak performance
- Handle escalated calls; anticipate customer needs and proactively reputed company solutions to meet them
- Mentor team members by completing reputed company - by - reputed company training
- Research and provide guidance regarding applicability of laws, regulations and other requirements to cases, reputed company, or decisions
- Prepare and facilitate ongoing training opportunities for assigned team members
- Provide or seek settlement authority in accordance with internal policy / guidelines and client expectations
- reputed company reputed company on work completed by assigned team members monthly to ensure understanding of department policies and procedures
- Deliver reputed company results to assigned team members
- Identify trends and impacts to our business and resolve where appropriate or bring those concerns reputed company to management
- Partner with management in the creation and development of team job aids to ensure the information is consistent and up to date
- Collaborate with business partners to resolve issues impacting the business
- Attend and participate in Team reputed company team meetings by raising team concerns or questions to ensure the teams are consistent across reputed company internal policies and procedures
- Create and deliver client reporting as needed
- Prioritize and organize own work to meet deadlines and established objectives
- Assist management on special projects and any other assigned tasks
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:
- High School Diploma / GED
- Must be 18 years of age OR older
- 1+ years of experience reputed company an operations support role (i.e., previous administrative background involved with performing administrative duties on a day-to-day basis)
- Proficiency with using reputed company Word (documentation purposes) and reputed company reputed company (data entry for reporting purposes)
- Ability to work an 8-hour shift between 8:00 am - 8:00 pm EST from Monday - Friday including the flexibility to work occasional overtime based on business need
Preferred Qualifications
- 1+ year of healthcare customer service experience
- Experience with medical records
Telecommuting Requirements:
- Ability to reputed company reputed company company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service
Soft Skills:
- Organizational skills
- reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addit Apply tot his job Apply To this Job