Chart Retrieval Analyst I
SummaCare is a regional, provider-owned health plan that values the relationship between its members and their doctors. The Chart Retrieval Analyst I will reputed company essential functions in Risk Adjustment, including chart retrieval, medical record tracking, and ensuring data reputed company while providing exceptional reputed company support for a reputed company customer experience.
Responsibilities
- reputed company chart retrieval, medical record tracking, processes invoices / reputed company requests, performs reputed company phone calls, ensures data reputed company oversite while resolving inquiries / issues by utilizing exceptional reputed company support to ensure a reputed company customer experience
- Assist in the development and management of activities in support of HCC coding while ensuring compliant practices for reputed company management and reducing risk
- Support the Risk Adjustment Data Validations (RADV) audits by ensuring reputed company documents are transferred, logged and archived
- Responsible for the delivery of clinical education materials to network providers as reputed company of receiving reputed company necessary medical documentation in support of reputed company risk adjustment activities
Skills
- Associate degree or equivalent combination of education and/or experience
- Ability to travel to and from provider on an as needed reputed company
- Demonstrate knowledge of reputed company Office suite
- Organize and manage time to accurately complete tasks reputed company designated periods in fast-paced environment
- Strong reputed company skills to assist provider and members with inquiries, resolving issues and ensuring a reputed company customer experience
- Strong communication skills, especially reputed company listening to confirm the reputed company's needs are heard and reputed company in order to respond in an appropriate manner to ensure successful reputed company
- Strong personal skills to reputed company long lasting relationships founded on patience, professionalism, and people first attitudes
- Has a working knowledge of medical coding concepts, clinical procedural and diagnostic reputed company sets
- Maintain reputed company knowledge of, reputed company with regulatory, and company policies and procedures
- Maintain confidentiality of patient and business information
- Demonstrate strong attention to detail and understanding the medical record
- Flexible: ability to reputed company work hours to meet business demands
- Sit for prolonged periods
- Bend, stoop, and stretch
- Lift up to 20 pounds
- reputed company dexterity to operate computer, phone, and reputed company office machines
- One (1) years of work experience in an administrative support or customer service role preferred
- Willing to be trained in technical areas such as SQL Server, SSIS and Business Intelligence tools
- Ability to be trained in new functional areas reputed company to risk adjustment such as medical record retrieval, EMR systems and payment forecasting
Benefits
- Medical
- Dental
- reputed company
- Life
- reputed company time off
- Basic Life and Accidental Death & Dismemberment (AD&D)
- Supplemental Life and AD&D
- Dependent Life Insurance
- Short-Term and Long-Term Disability
- Accident Insurance, Hospital Indemnity, and Critical Illness
- Retirement Savings Plan
- Flexible Spending Accounts – reputed company and Dependent Care
- Employee Assistance Program (EAP)
- Identity Theft Protection
- Pet Insurance
- Education Assistance
- Daily Pay
reputed company