See all roles

Senior Medical Records Collector (Remote) (,, United States)

Work from home Full-time role Hiring

Molina's Hedis / Quality Improvement Sr.Medical Records CollectorMolina's HEDIS / Quality Improvement Sr.Medical Records Collector is a team member with several years of experience in working collaboratively with outreach 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.These team members help mentor other team members and take the lead on process and project improvement.These team members act as the subject matter experts in the area of medical record collection / pursuit.Job duties include :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.Subject matter expert in the area of project management / coordination of 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 and prepared feedback for the vendor meetings in relation to the medical record collection process.Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application.Assists the manager / lead and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation.Job qualifications :High School Diploma or equivalent3seasons / years medical record collection experience.3years managed care experience.Basic knowledge of HEDIS and NCQA.Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.3 years HEDIS data collection experience.Certified Medical Record Technician.Working environment is generally favorable and lighting and temperature are adequate.Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and / or hazardous working conditions.Must have the ability to sit for long periods.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.Molina Healthcare offers a competitive benefits and compensation package.Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.Pay Range :$21.16 - $34.88 / HOURLYActual compensation may vary from posting based on geographic location, work experience, education and / or skill level.. Apply tot his job Apply To this Job

You might like

Insurance Verification Specialist-Remote-Frisco,TX

Work from home Full-time role

Medical Virtual Assistant (Insurance Verification & Authorization Specialist)

Work from home Full-time role

Telephone Verification Operator QAC (Remote)

Work from home Full-time role

Verification Specialist

Work from home Full-time role

INSURANCE VERIFICATION SPEC, FCH

Work from home Full-time role

Dental Verification Specialist-REMOTE at Wisdom Teeth Guys

Work from home Full-time role

Market Insurance Agent – High Level Strategy

Work from home Full-time role

Hedis Coordinator 100% Remote

Work from home Full-time role

Healthcare - HEDIS Medical Record Collector

Work from home Full-time role

CDI Specialist (Hybrid, Part Time)

Work from home Full-time role

Manager, System Lead - Agent/C2

Work from home Full-time role

Quality Assurance/Testing Engineer Intern

Work from home Full-time role

Experienced Remote Data Entry Clerk – Flexible Work Schedule and Competitive Compensation

Work from home Full-time role

Experienced Remote Pharmacy Customer Service Representative – Delivering Exceptional Patient Care and Support

Work from home Full-time role

Experienced Area Manager – Work From Home Customer Service and Operations Leadership Role at arenaflex

Work from home Full-time role

AI Adoption and IT Alignment Lead

Work from home Full-time role

Remote Physical Therapist in GA

Work from home Full-time role

Entry-Level Data Entry Specialist (Remote) at arenaflex

Work from home Full-time role

Remote Customer Service Representative & Data Entry Specialist – Flexible Work-From-Home Opportunity

Work from home Full-time role

[Hiring] Speech-Language Pathologist @Teachwell Solutions

Work from home Full-time role