See all roles

Sr Medical Records Collector

Work from home Full-time role Hiring

Job Description

Job Summary Molina's HEDIS/Quality Improvement Sr. Medical Records Collector is a team member with several years experience in working collaboratively with outreaching 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 • 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 REQUIRED EDUCATION: High School Diploma or equivalent Required Experience/Knowledge, Skills & Abilities • 3+ seasons/years medical record collection experience. • 3+ years managed care experience. • Basic knowledge of HEDIS and NCQA Required License, Certification, Association Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation. Preferred Experience 3 years HEDIS data collection experience. Preferred License, Certification, Association Certified Medical Record Technician Physical Demands 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. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. 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 / HOURLY • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Apply Job!

You might like

AVP, Program Underwriting Manager

Work from home Full-time role

Claims Adjuster, Bodily Injury

Work from home Full-time role

Senior Complex Commercial Trucking Claims Adjuster

Work from home Full-time role

Lead Full Stack Engineer - Capital One Software (Remote)

Work from home Full-time role

Commercial Lender

Work from home Full-time role

Embedded Software Engineer (Innovation Team)

Work from home Full-time role

Infotainment Quality Analyst

Work from home Full-time role

Excess and Surplus Claims Specialist

Work from home Full-time role

Jr. Software Developer

Work from home Full-time role

ERM Issue Management Analyst at Flagstar Bank Hicksville, NY

Work from home Full-time role

Junior SAP ABAP Developer

Work from home Full-time role

Experienced Customer Service Representative – Remote Work Opportunity with blithequark for Delivering Exceptional Customer Experiences

Work from home Full-time role

Full Time Assistant Store Manager (Store 4483)

Work from home Full-time role

Experienced Full Stack Operations Support Analyst – Remote Customer Support Jobs for Southwest Airlines

Work from home Full-time role

[Work From Home] Technical Support / Customer Service

Work from home Full-time role

SDET – III (WEB & API)

Work from home Full-time role

Paid Digital Media & Digital Marketing Manager

Work from home Full-time role

Director Guest Marketing Strategy, Beauty; Remote Or Hybrid

Work from home Full-time role

Business Development & Growth Internship

Work from home Full-time role

Entry Level Sales Representatives - Remote

Work from home Full-time role