HEDIS Service Associate II (contract) Job at Elevance Health

Elevance Health Remote

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.


We are looking for contract workers (via BCforward) who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?


This project will start on 2/20/23 and end on 5/7/23.


Overview-

  • Responsible for providing administrative and telephonic support for department working on a data collection project in a fast paced environment in order to meet deadlines within the project.
  • Candidate will work under the direction of the Lead to assist and fulfill requests by contacting and corresponding with provider practices.
  • A high degree of professionalism and team effort is expected to be maintained throughout the project.


Responsibilities-

  • Working at a fast pace this candidate must communicate directly with provider offices in pursuit process by requesting medical record information and coordinating the exchange of files.
  • Must be able to maintain fax equipment and support the Level I Service Associate and team by performing all the required clerical activities within the project requirements.
  • Working in this position the Service Associate II also will be required to book appointments, verify information and communicate with provider offices making requests for medical record information, maintain department tracking log, and Abstractor calendars.
  • An understanding of the Medical record filing system within the department is required. Medical Records are stored in locked cabinets and retrieved as requested by staff and Auditors.
  • Candidate will be responsible to assist abstractors by utilizing research within the company's claims and medical record systems and locating where members received care.
  • A high degree of professional telephonic dialog is maintained at all times.


Requirements-

  • Requires High School diploma and 6 months related work experience or an equivalent combination of education and experience.
  • Candidates who have familiarity with medical terminology, customer service, call center background and prior HEDIS experience would have priority for this position.
  • Candidates must have basic Excel skills and must have the ability to type 30-40 WPM.


Additional Information-

  • This position will involve making phone calls to provider offices, sending request packets, and following through until the requested information is obtained. Some research will be required as well as the ability to adapt to new situations based on the information obtained.
  • This is a time sensitive project so we ask that minimal time off be taken during the season.


Hours
- (M-F) 8:30am-5pm in your time zone and West Coast or Central time would be preferred


An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.


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