Healthcare Customer Service Admin

  • location: Tampa, FL
  • type: Contract
  • salary: $18 per hour
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job description

Healthcare Customer Service Admin

job summary:
JOB SUMMARY

  • Supports quality improvement interventions by collecting medical records data.
  • Interface via phone, fax and mail with providers and contracted vendors.
  • Maintain confidentiality of protected health information.
ESSENTIAL FUNCTIONS

  • Responsible for all phases of the medical record request process for sensitive providers from identification, outreach, follow up to ultimate disposition.
  • Review medical records for completeness and compliance with CMS guidelines.
  • Follow up with providers as necessary.
  • Coordinate with internal departments (such as Network Management, Provider Relations, Retrospective Review, Claims Recovery) and vendors to ensure timely completion of medical record request to meet departmental goals and CMS deadlines.
  • Participate in process development and testing of new process implementation.
  • Perform all other duties as assigned.
  • Additional Position Responsibilities - Optional
MINIMUM QUALIFICATIONS

Education

  • A High School or GED Required
Work Experience

  • 1+ year of experience in Relevant work experience Required
Skills

  • Demonstrated interpersonal/verbal communication skills Advanced
  • Demonstrated written communication skills Intermediate
  • Demonstrated organizational skills Intermediate
  • Demonstrated time management and priority setting skills Intermediate
Technology

  • Microsoft Word Intermediate Required
  • Microsoft Excel Intermediate Required
  • Adobe Acrobate Intermediate Required
 
location: Tampa, Florida
job type: Contract
work hours: 8 to 5
education: High School
experience: 1 Years
 
responsibilities:
  • Responsible for all phases of the medical record request process for sensitive providers from identification, outreach, follow up to ultimate disposition.
  • Review medical records for completeness and compliance with CMS guidelines.
  • Follow up with providers as necessary.
  • Coordinate with internal departments (such as Network Management, Provider Relations, Retrospective Review, Claims Recovery) and vendors to ensure timely completion of medical record request to meet departmental goals and CMS deadlines.
  • Participate in process development and testing of new process implementation.
  • Perform all other duties as assigned.
  • Additional Position Responsibilities - Optional
 
qualifications:
MINIMUM QUALIFICATIONS

Education

  • A High School or GED Required
Work Experience

  • 1+ year of experience in Relevant work experience Required
Skills

  • Demonstrated interpersonal/verbal communication skills Advanced
  • Demonstrated written communication skills Intermediate
  • Demonstrated organizational skills Intermediate

    • Demonstrated time management and priority setting skills Intermediate
 
skills: Other
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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