1 Remote Job Opening | Member Risk Adjustment Coordinator I | 12 Months (Possible Extension) Job in Various, FL
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Remote Job Opening | Member Risk Adjustment Coordinator I | 12 Months (Possible Extension)
$35k-44k (estimate)
Contractor | IT Outsourcing & Consulting
0 Months Ago
Pyramid Consulting Group is Hiring a Remote Remote Job Opening | Member Risk Adjustment Coordinator I | 12 Months (Possible Extension)
Title: Member Risk Adjustment Coordinator ILocation: Remote – EST only
Duration: 12 Months (Possible Extension)
Shift: 8 AM - 5 PM EST (Mon - Fri)
Job Description:
Schedule appointments gather medical histories and updated member and provider information in support of member outreach and claims reimbursement.Job Responsibilities:
• Engage with providers via outbound calls, inbound calls, emails, and fax.• Weekly metrics based on daily production hours – 150 calls per week, 50 resolved sites per week.• Multi-tasking through different software, tools, and vendor portals.• Monitored production environment.• Assist members with scheduling office visits with primary care providers.
• Retrieves charts from electronic medical record systems and compile medical records to send to other parties for coding.
• Requests medical records by making outbound phone calls to provider groups.
• Completes supplemental medical records requests using Excel files.
• Assist with providing updated member and provider information to vendors.
• Direct medical record requests to the responsible party.
• Resolves outstanding vendor pends within a timely manner by updating member and provider demographics and working with chart load issues.
• Ensure follow-up on member appointments or other tasks designated.
• Assist with ad hoc requests.
Job Requirements:- Experience with Microsoft Office products, Phone and Email etiquette, Attendance and Punctuality, Quality assurance, Critical and Strategic thinking, and PHI handling and medical records is required.
- Experience with the Healthcare industry experience, Productivity tracking in production-based environment, Accountability tracking, and Productivity tracking in a production-based environment is highly preferred.
- Microsoft Excel and Microsoft Outlook is required.
- Ability to adapt to work in a changing environment.- High school diploma or equivalent.- 0-2 years of customer service or medical office experience.#prof
Duration: 12 Months (Possible Extension)
Shift: 8 AM - 5 PM EST (Mon - Fri)
Job Description:
Schedule appointments gather medical histories and updated member and provider information in support of member outreach and claims reimbursement.Job Responsibilities:
• Engage with providers via outbound calls, inbound calls, emails, and fax.• Weekly metrics based on daily production hours – 150 calls per week, 50 resolved sites per week.• Multi-tasking through different software, tools, and vendor portals.• Monitored production environment.• Assist members with scheduling office visits with primary care providers.
• Retrieves charts from electronic medical record systems and compile medical records to send to other parties for coding.
• Requests medical records by making outbound phone calls to provider groups.
• Completes supplemental medical records requests using Excel files.
• Assist with providing updated member and provider information to vendors.
• Direct medical record requests to the responsible party.
• Resolves outstanding vendor pends within a timely manner by updating member and provider demographics and working with chart load issues.
• Ensure follow-up on member appointments or other tasks designated.
• Assist with ad hoc requests.
Job Requirements:- Experience with Microsoft Office products, Phone and Email etiquette, Attendance and Punctuality, Quality assurance, Critical and Strategic thinking, and PHI handling and medical records is required.
- Experience with the Healthcare industry experience, Productivity tracking in production-based environment, Accountability tracking, and Productivity tracking in a production-based environment is highly preferred.
- Microsoft Excel and Microsoft Outlook is required.
- Ability to adapt to work in a changing environment.- High school diploma or equivalent.- 0-2 years of customer service or medical office experience.#prof
Job Summary
JOB TYPE
Contractor
INDUSTRY
IT Outsourcing & Consulting
SALARY
$35k-44k (estimate)
POST DATE
05/17/2023
EXPIRATION DATE
05/09/2024
WEBSITE
pyramidci.com
HEADQUARTERS
CHARLOTTE, NC
SIZE
1,000 - 3,000
FOUNDED
1996
TYPE
Private
CEO
EMMA ADAMS
REVENUE
$200M - $500M
INDUSTRY
IT Outsourcing & Consulting
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About Pyramid Consulting Group
Pyramid Consulting is a recruitment process outsourcing firm that provides software development and IT staffing solutions.
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