Medical Administrative Representative( HEDIS)

Remote Full-time
Position: Medical Administrative Lead Representative

Duration: 3-4 Months Contract + High Potential to Extend...

Location: 100 % Remote

Pay : $20

Job Description:

Duties:
Ā• Medical Administrative Lead Representative (Research Team) - This role differs from the regular HEDIS Admin role, as there is limited phone or customer outreach.
Ā• This role will require Critical Thinking, experience with performing Research, knowledge of CPT codes and Claims data
Ā• The Medical Administrative Lead Representative works under the direction of the **** Team Lead and other ***** personnel.
Ā• The position requires strong communication, computer, and clerical skills.
Ā• Daily activities include tracking assigned research in electronic systems, utilizing **** claims systems, using the Internet to gather provider/location information, and possible phone/fax outreach if needed.
Ā• Other daily activities include the ability to manage large amounts of data electronically, file documents in electronic filing software, faxing, scanning, and abstracting documents from electronic storage devices.
Ā• Previous experience in Microsoft Office Suite (Outlook, Excel, and Word) is required.

Skills

The candidate will possess:
Ā• Strong computer skills, (e.g., Data entry, Microsoft Word and Outlook, Excel, PDF, WebEx, Outlook)
Ā• Must be comfortable using multiple computer systems including working with dual monitors.
Ā• Excellent communication skills (written and verbal)
Ā• Must be able to perform Internet research and research using Cigna proprietary software systems
Ā• Must be detail-oriented
Ā• Must demonstrate tenacity to obtain the medical records
Ā• Must have knowledge of medical terminology
Ā• Must be a quick learner, who can demonstrate the ability to follow multi-step instructions, be a problem solver, and adhere to department protocols
Ā• Ability to work independently and in a team environment
Ā• Knowledge of CPT Codes and Claims data - Required for the Research Team
Ā• Must have a secure designated work area and a reliable Internet connection as this position will be 100% work from home.

Education:
Ā• High school graduate or GED equivalency.
Ā• Experience with Microsoft Office Suite (Outlook, Excel, and Word) required.
Ā• Knowledge of CPT Codes and Claims data - Required for the Research Team
Ā• Experience as a medical assistant or clinical administrative assistant is preferred.
Ā• Coding, claims, and medical record review experience desired but not necessary.

Scheduled Time:
Ā• 8 am - 4:30 pm Local Time

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