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Medical Record Retrieval Specialist

Company

Premera Blue Cross

Address United States
Employment type FULL_TIME
Salary
Category Insurance
Expires 2023-06-14
Posted at 1 year ago
Job Description
Join Our Team: Do Meaningful Work and Improve People’s Lives


Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.


To better serve our customers, we’re creating a culture that promotes employee growth, collaborative innovation, and inspired leadership. Forbes ranked Premera among America’s 2022 Best Midsize Employers because we are committed to creating an environment where employees can do their best work and where best-in-class talent comes, stays, and thrives!


COVID-19 Vaccination Policy:


To learn more about our COVID-19 vaccination and accommodation requirements, please visit our Careers landing page.


The Medical Records Specialist, in coordination with Risk Adjustment and Quality Departments, will retrieve electronic medical records from provider systems, copy service systems, and create and generate letter requests to providers. All medical record retrieval efforts will be in support of Commercial, Medicare Advantage, Federal Employee Program or other Quality and Risk Adjustment lines of business initiatives and work efforts. As part of large retrieval projects, may conduct outbound calls to providers to help remove roadblocks for receipt of medical records. Will support other tasks such as data entry, research with multiple EMRs as needed for the overall medical record retrieval initiative, train contingent workers during peak seasons, and support quality audits reviews of contingent workers.


What you’ll do:


  • Train all new Contingent workers during peak seasons
  • Generate Letter Requests on behalf of Premera Risk and Quality Departments.
  • Assist with maintaining Job Aides for each provider system and copy service.
  • Ability to work with strict deadlines.
  • Telephone Outreach to providers for status and to help remove retrieval barriers.
  • System research as needed (web or internal source systems).
  • Retrieve Medical Records from multiple provider EHR systems.
  • Data Entry.
  • Other Duties as assigned by Team Lead, Manager, or Director     


What you’ll bring:


  • High Speed Cable, DSL or Fiberoptic Internet, no less than 20 mbps – Satellite and Wireless connections will not work with our equipment. (Required)
  • Strongly prefer EMR experience (Epic super user)
  • Strongly prefer medical record retrieval experience in EHR systems
  • Strongly prefer knowledge of HEDIS
  • High School Diploma or GED (Required)
  • Demonstrated knowledge of HIPAA and Privacy Confidentiality Laws (Required)
  • Two (2) years’ relevant experience (Required)


What you’ll love:


  • No more commute
  • Generous benefits package that starts on Day 1 including health, dental, vision, PTO (Paid Time Off), and incredible retirement packages.
  • Work from home, full time (40-hour week)
  • Premera will provide a one-time allotment of $500 (minus taxes) towards home office furniture.


Schedule:


  • Set schedule with consistency – Monday-Friday, 8-hour days between 8am and 5pm Pacific Time (PST)


What We Offer


  • Free parking
  • Generous Paid Time Off to reenergize
  • Tuition assistance for undergraduate and graduate degrees
  • Wellness incentives, onsite services, a discount program and more
  • Life and disability insurance
  • Medical, vision and dental coverage
  • Retirement programs (401K employer match and pension plan)


Equal employment opportunity/affirmative action:


Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.


If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at [email protected] or via phone at 425-918-4785.


The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience.


National Salary Range:


$35,700.00 - $53,500.00


National Plus Salary Range:


$40,300.00 - $60,500.00


  • National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.