Collector jobs at HCA Healthcare - 52 jobs

Coding Account Resolution Specialist-Inpatient
HCA Healthcare 4.5
Collector job at HCA Healthcare
**Introduction** Do you want to join an organization that invests in you as a Coding Account Resolution Specialist-Inpatient? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. **This position is a work from home position!** **Some flexibility in the schedule!** **Benefits** Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (********************************************************************** **_Note: Eligibility for benefits may vary by location._** You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Coding Account Resolution Specialist-Inpatient like you to be a part of our team. **Job Summary and Qualifications** The Coding Account Resolution Specialist-III (CARS-III) works inpatient coding related alerts/edits, predominately post initial/final coding. The CARS-III performs the alert/edit resolution activities in the applicable systems. The alerts/edits shall be worked according to the established procedures and thresholds, and communicated as appropriate. **What you will do in this role:** + Compiles daily work list from eRequest, CRT and/or other alert/edit systems + Takes action and resolves alerts/edits daily following established procedures and thresholds + Enters detailed notes to update eRequest to provide details if the alert/edit cannot be resolved or must be rerouted to another responsible party for research/resolution + Escalates alert/edit resolution issues as appropriate to minimize final billing delays + Monitors the aging of accounts held by an alert/edit, prioritizes aged accounts first, and reports to leadership + Works with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Assigns interim DRGs for in-house patients at month end + Completes MOCK abstracts as necessary (e.g., combining the codes for outpatient and inpatient claims subject to the payment window) + Assists the Coding Leads and/or Coding Managers in resolving unbilled reason codes (URC)/Hold Reasons + Communicates coding revisions to the applicable party (e.g., CIS, lead, manager, international log) + Periodically works with their Manager to review individual work accomplishments, discuss work problems/barriers, discuss progress in mastering tasks and work processes, and discusses individual training needs and career progression + Adheres to all applicable coding and billing regulations and guidance, including but not limited to, CMS, AHA and HCA policies and guidelines + As needed, may periodically be asked to perform Coding Integrity Specialist III (CIS-III) duties + Meets all educational requirements as stated in Company and HSC policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures and clinical/medical resources to assure coding knowledge and skills remain current + Practice and adhere to the Company's Code of Conduct philosophy + Practice and adhere to the Company's Mission and Values + Other duties as assigned **Qualifications:** + High School graduate or GED equivalent preferred, undergraduate (associates or bachelors) degree in HIM/HIT preferred + 1-year acute care inpatient coding experience require with 3 years' experience preferred + RHIA, RHIT and/or CCS preferred **Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. " "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Coding Account Resolution Specialist-Inpatient opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$38k-45k yearly est. 41d ago

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Lead Medical Records Collector
Molina Healthcare 4.4
Columbus, OH jobs
Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. **Essential Job Duties** - Outreaches to providers via phone call, fax, mail, electronic medical record system (EMR) retrieval, and direct on-site pick up for collection of medical records. - Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. - Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. - Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. - Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. - Provides mentorship and leadership to team members and represents as lead on process and project improvement initiatives. - Participates in and prepares feedback for meetings with vendors related to the medical record collection process. - Some medical records collection related travel may be required. **Required Qualifications** + At least 4 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience. + Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. + Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. + Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). + Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). + Proficiency with data analysis tools (e.g., Excel). + Excellent customer service and active listening skills. + Previous project coordination and/or process improvement experience. + Ability to effectively interface with staff, clinicians, and leadership. + Strong prioritization skills and detail orientation. + Strong verbal and written communication skills, including professional phone etiquette. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** - Registered Health Information Technician (RHIT). - Healthcare Effectiveness Data Information Set (HEDIS) data collection experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-38.4 hourly 4d ago
Lead Medical Records Collector
Molina Healthcare Inc. 4.4
Columbus, OH jobs
Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Outreaches to providers via phone call, fax, mail, electronic medical record system (EMR) retrieval, and direct on-site pick up for collection of medical records. * Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. * Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. * Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. * Provides mentorship and leadership to team members and represents as lead on process and project improvement initiatives. * Participates in and prepares feedback for meetings with vendors related to the medical record collection process. * Some medical records collection related travel may be required. Required Qualifications * At least 4 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience. * Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. * Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. * Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). * Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). * Proficiency with data analysis tools (e.g., Excel). * Excellent customer service and active listening skills. * Previous project coordination and/or process improvement experience. * Ability to effectively interface with staff, clinicians, and leadership. * Strong prioritization skills and detail orientation. * Strong verbal and written communication skills, including professional phone etiquette. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Health Information Technician (RHIT). * Healthcare Effectiveness Data Information Set (HEDIS) data collection experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-38.4 hourly 5d ago
Underpayment & Overpayment Collector - Healthcare (REMOTE
Community Health Systems 4.5
Remote
The Underpayment & Overpayment Collector - Healthcare (REMOTE) is responsible for the timely and efficient resolution of underpaid and overpaid accounts. This role involves managing account follow-up, analyzing trends, collaborating with internal departments, and ensuring accurate reconciliation of account balances. The PCCM Collector assists in optimizing revenue cycle processes and maintaining compliance with contractual agreements. As a Payment Compliance Collector at Community Health Systems (CHS) - PCCM, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. Essential Functions Manages account follow-up for underpaid and overpaid claims, escalating unresolved issues internally as needed to achieve resolution. Reconciles account balances and adjustments to ensure accurate financial status and compliance with contractual terms. Resolves underpayments by engaging in daily communication with payers and negotiating payment discrepancies. Identifies and analyzes trends in underpayments, overpayments, denials, and revenue opportunities to recommend process improvements. Evaluates and interprets contract reimbursement details, providing feedback and insights to the department to enhance revenue cycle performance. Collaborates with financial and clinical departments to address account discrepancies and ensure effective revenue management. Reviews contract validation, updates, and provides interpretation to support accurate claim processing and collections. Ensures thorough and accurate validation of account analysis before distribution, maintaining compliance with policies and procedures. Performs other duties as assigned. Complies with all policies and standards. This is a fully remote position Qualifications H.S. Diploma or GED required Associate Degree or higher preferred 1-2 years of experience in healthcare collections, revenue cycle, or contract management required Familiarity with payer contracts and healthcare reimbursement methodologies preferred Experience in hospital insurance collections strongly preferred UB-O4 experience strongly preferred Knowledge, Skills and Abilities Strong analytical and problem-solving skills. Proficient in understanding and interpreting payer contracts and reimbursement terms. Effective communication and negotiation skills. Ability to work independently and manage multiple priorities in a fast-paced environment. Proficiency in healthcare billing software, Google Suite, and Microsoft Office Suite, especially Excel. Attention to detail and high degree of accuracy in reconciliation and analysis. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
$29k-33k yearly est. Auto-Apply 1d ago
Underpayment & Overpayment Collector - Healthcare (REMOTE
Community Health Systems 4.5
Tennessee jobs
The Underpayment & Overpayment Collector - Healthcare (REMOTE) is responsible for the timely and efficient resolution of underpaid and overpaid accounts. This role involves managing account follow-up, analyzing trends, collaborating with internal departments, and ensuring accurate reconciliation of account balances. The PCCM Collector assists in optimizing revenue cycle processes and maintaining compliance with contractual agreements. As a Payment Compliance Collector at Community Health Systems (CHS) - PCCM, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. **Essential Functions** + Manages account follow-up for underpaid and overpaid claims, escalating unresolved issues internally as needed to achieve resolution. + Reconciles account balances and adjustments to ensure accurate financial status and compliance with contractual terms. + Resolves underpayments by engaging in daily communication with payers and negotiating payment discrepancies. + Identifies and analyzes trends in underpayments, overpayments, denials, and revenue opportunities to recommend process improvements. + Evaluates and interprets contract reimbursement details, providing feedback and insights to the department to enhance revenue cycle performance. + Collaborates with financial and clinical departments to address account discrepancies and ensure effective revenue management. + Reviews contract validation, updates, and provides interpretation to support accurate claim processing and collections. + Ensures thorough and accurate validation of account analysis before distribution, maintaining compliance with policies and procedures. + Performs other duties as assigned. + Complies with all policies and standards. + This is a fully remote position **Qualifications** + H.S. Diploma or GED required + Associate Degree or higher preferred + 1-2 years of experience in healthcare collections, revenue cycle, or contract management required + Familiarity with payer contracts and healthcare reimbursement methodologies preferred + Experience in hospital insurance collections strongly preferred + UB-O4 experience strongly preferred **Knowledge, Skills and Abilities** + Strong analytical and problem-solving skills. + Proficient in understanding and interpreting payer contracts and reimbursement terms. + Effective communication and negotiation skills. + Ability to work independently and manage multiple priorities in a fast-paced environment. + Proficiency in healthcare billing software, Google Suite, and Microsoft Office Suite, especially Excel. + Attention to detail and high degree of accuracy in reconciliation and analysis. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
$27k-30k yearly est. 22d ago
Lead Medical Records Collector
Molina Healthcare Inc. 4.4
Cleveland, OH jobs
Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Outreaches to providers via phone call, fax, mail, electronic medical record system (EMR) retrieval, and direct on-site pick up for collection of medical records. * Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. * Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. * Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. * Provides mentorship and leadership to team members and represents as lead on process and project improvement initiatives. * Participates in and prepares feedback for meetings with vendors related to the medical record collection process. * Some medical records collection related travel may be required. Required Qualifications * At least 4 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience. * Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. * Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. * Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). * Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). * Proficiency with data analysis tools (e.g., Excel). * Excellent customer service and active listening skills. * Previous project coordination and/or process improvement experience. * Ability to effectively interface with staff, clinicians, and leadership. * Strong prioritization skills and detail orientation. * Strong verbal and written communication skills, including professional phone etiquette. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Health Information Technician (RHIT). * Healthcare Effectiveness Data Information Set (HEDIS) data collection experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-38.4 hourly 5d ago
Lead Medical Records Collector
Molina Healthcare 4.4
Cincinnati, OH jobs
Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. **Essential Job Duties** - Outreaches to providers via phone call, fax, mail, electronic medical record system (EMR) retrieval, and direct on-site pick up for collection of medical records. - Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. - Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. - Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. - Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. - Provides mentorship and leadership to team members and represents as lead on process and project improvement initiatives. - Participates in and prepares feedback for meetings with vendors related to the medical record collection process. - Some medical records collection related travel may be required. **Required Qualifications** + At least 4 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience. + Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. + Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. + Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). + Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). + Proficiency with data analysis tools (e.g., Excel). + Excellent customer service and active listening skills. + Previous project coordination and/or process improvement experience. + Ability to effectively interface with staff, clinicians, and leadership. + Strong prioritization skills and detail orientation. + Strong verbal and written communication skills, including professional phone etiquette. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** - Registered Health Information Technician (RHIT). - Healthcare Effectiveness Data Information Set (HEDIS) data collection experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-38.4 hourly 4d ago
Lead Medical Records Collector
Molina Healthcare Inc. 4.4
Akron, OH jobs
Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Outreaches to providers via phone call, fax, mail, electronic medical record system (EMR) retrieval, and direct on-site pick up for collection of medical records. * Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. * Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. * Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. * Provides mentorship and leadership to team members and represents as lead on process and project improvement initiatives. * Participates in and prepares feedback for meetings with vendors related to the medical record collection process. * Some medical records collection related travel may be required. Required Qualifications * At least 4 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience. * Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. * Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. * Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). * Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). * Proficiency with data analysis tools (e.g., Excel). * Excellent customer service and active listening skills. * Previous project coordination and/or process improvement experience. * Ability to effectively interface with staff, clinicians, and leadership. * Strong prioritization skills and detail orientation. * Strong verbal and written communication skills, including professional phone etiquette. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Health Information Technician (RHIT). * Healthcare Effectiveness Data Information Set (HEDIS) data collection experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-38.4 hourly 5d ago
Lead Medical Records Collector
Molina Healthcare Inc. 4.4
Cincinnati, OH jobs
Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Outreaches to providers via phone call, fax, mail, electronic medical record system (EMR) retrieval, and direct on-site pick up for collection of medical records. * Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. * Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. * Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. * Provides mentorship and leadership to team members and represents as lead on process and project improvement initiatives. * Participates in and prepares feedback for meetings with vendors related to the medical record collection process. * Some medical records collection related travel may be required. Required Qualifications * At least 4 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience. * Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. * Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. * Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). * Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). * Proficiency with data analysis tools (e.g., Excel). * Excellent customer service and active listening skills. * Previous project coordination and/or process improvement experience. * Ability to effectively interface with staff, clinicians, and leadership. * Strong prioritization skills and detail orientation. * Strong verbal and written communication skills, including professional phone etiquette. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Health Information Technician (RHIT). * Healthcare Effectiveness Data Information Set (HEDIS) data collection experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-38.4 hourly 5d ago
Lead Medical Records Collector
Molina Healthcare Inc. 4.4
Dayton, OH jobs
Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Outreaches to providers via phone call, fax, mail, electronic medical record system (EMR) retrieval, and direct on-site pick up for collection of medical records. * Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. * Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. * Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. * Provides mentorship and leadership to team members and represents as lead on process and project improvement initiatives. * Participates in and prepares feedback for meetings with vendors related to the medical record collection process. * Some medical records collection related travel may be required. Required Qualifications * At least 4 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience. * Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. * Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. * Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). * Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). * Proficiency with data analysis tools (e.g., Excel). * Excellent customer service and active listening skills. * Previous project coordination and/or process improvement experience. * Ability to effectively interface with staff, clinicians, and leadership. * Strong prioritization skills and detail orientation. * Strong verbal and written communication skills, including professional phone etiquette. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Health Information Technician (RHIT). * Healthcare Effectiveness Data Information Set (HEDIS) data collection experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-38.4 hourly 5d ago
Lead Medical Records Collector
Molina Healthcare 4.4
Dayton, OH jobs
Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. **Essential Job Duties** - Outreaches to providers via phone call, fax, mail, electronic medical record system (EMR) retrieval, and direct on-site pick up for collection of medical records. - Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. - Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. - Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. - Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. - Provides mentorship and leadership to team members and represents as lead on process and project improvement initiatives. - Participates in and prepares feedback for meetings with vendors related to the medical record collection process. - Some medical records collection related travel may be required. **Required Qualifications** + At least 4 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience. + Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. + Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. + Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). + Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). + Proficiency with data analysis tools (e.g., Excel). + Excellent customer service and active listening skills. + Previous project coordination and/or process improvement experience. + Ability to effectively interface with staff, clinicians, and leadership. + Strong prioritization skills and detail orientation. + Strong verbal and written communication skills, including professional phone etiquette. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** - Registered Health Information Technician (RHIT). - Healthcare Effectiveness Data Information Set (HEDIS) data collection experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-38.4 hourly 4d ago
Lead Medical Records Collector
Molina Healthcare Inc. 4.4
Ohio jobs
Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Outreaches to providers via phone call, fax, mail, electronic medical record system (EMR) retrieval, and direct on-site pick up for collection of medical records. * Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. * Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. * Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. * Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. * Provides mentorship and leadership to team members and represents as lead on process and project improvement initiatives. * Participates in and prepares feedback for meetings with vendors related to the medical record collection process. * Some medical records collection related travel may be required. Required Qualifications * At least 4 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience. * Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. * Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. * Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). * Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). * Proficiency with data analysis tools (e.g., Excel). * Excellent customer service and active listening skills. * Previous project coordination and/or process improvement experience. * Ability to effectively interface with staff, clinicians, and leadership. * Strong prioritization skills and detail orientation. * Strong verbal and written communication skills, including professional phone etiquette. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Health Information Technician (RHIT). * Healthcare Effectiveness Data Information Set (HEDIS) data collection experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$21.7-38.4 hourly 5d ago
Lead Medical Records Collector
Molina Healthcare 4.4
Ohio jobs
Provides lead level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. **Essential Job Duties** - Outreaches to providers via phone call, fax, mail, electronic medical record system (EMR) retrieval, and direct on-site pick up for collection of medical records. - Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. - Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. - Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. - Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. - Provides mentorship and leadership to team members and represents as lead on process and project improvement initiatives. - Participates in and prepares feedback for meetings with vendors related to the medical record collection process. - Some medical records collection related travel may be required. **Required Qualifications** + At least 4 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience. + Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. + Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. + Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). + Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). + Proficiency with data analysis tools (e.g., Excel). + Excellent customer service and active listening skills. + Previous project coordination and/or process improvement experience. + Ability to effectively interface with staff, clinicians, and leadership. + Strong prioritization skills and detail orientation. + Strong verbal and written communication skills, including professional phone etiquette. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** - Registered Health Information Technician (RHIT). - Healthcare Effectiveness Data Information Set (HEDIS) data collection experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-38.4 hourly 4d ago
Senior Medical Records Collector
Molina Healthcare 4.4
Cleveland, OH jobs
JOB DESCRIPTION Job SummaryProvides senior level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records. - Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. - Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. - Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. - Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. - Provides mentorship and leadership to team members and represents at a senior level for process and project improvement initiatives. - Participates in and prepares feedback for meetings with vendors related to the medical record collection process. - Some medical records collection related travel may be required. Required Qualifications- At least 2 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience. - Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. - Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). - Proficiency with data analysis tools (e.g., Excel). - Ability to manage files, schedules and information efficiently. - Ability to effectively interface with staff, clinicians, and leadership. - Strong prioritization skills and detail orientation. - Strong verbal and written communication skills, including professional phone etiquette. - Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications - Registered Health Information Technician (RHIT). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-34.9 hourly 6d ago
Senior Medical Records Collector
Molina Healthcare 4.4
Akron, OH jobs
JOB DESCRIPTION Job SummaryProvides senior level support for medical records collection activities. Responsible for quality improvement activities including outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records. - Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. - Provides subject matter expertise in project management/coordination of identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff. - Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application. - Assists the medical records leadership and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation. - Provides mentorship and leadership to team members and represents at a senior level for process and project improvement initiatives. - Participates in and prepares feedback for meetings with vendors related to the medical record collection process. - Some medical records collection related travel may be required. Required Qualifications- At least 2 years of health care experience, including medical records support experience in a managed care setting, or equivalent combination of relevant education and experience. - Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. - Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). - Proficiency with data analysis tools (e.g., Excel). - Ability to manage files, schedules and information efficiently. - Ability to effectively interface with staff, clinicians, and leadership. - Strong prioritization skills and detail orientation. - Strong verbal and written communication skills, including professional phone etiquette. - Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications - Registered Health Information Technician (RHIT). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-34.9 hourly 6d ago
Medical Records Collector
Molina Healthcare 4.4
Cleveland, OH jobs
JOB DESCRIPTION Job SummaryProvides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records. - Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. - Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. - Provides project management support to leadership via coordination, identification, pursuit and collection of medical records and other required data with other HEDIS staff. - Participates in meetings with vendors related to the medical record collection process. - Some medical records collection related travel may be required. Required Qualifications- At least 1 year customer service experience, preferably in an administrative support capacity in a health care setting, or equivalent combination of relevant education and experience. - Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. - Excellent customer service and active listening skills. - Proficiency with data analysis tools (e.g., Excel). - Ability to manage files, schedules and information efficiently. - Ability to effectively interface with staff, clinicians, and leadership. - Strong prioritization skills and detail orientation. - Strong verbal and written communication skills, including professional phone etiquette. - Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications - Registered Health Information Technician (RHIT). - Medical records collection experience. - Managed care experience. - Basic knowledge of Healthcare Effectiveness Data Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). - Project planning experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $31.71 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-31.7 hourly 7d ago
Medical Records Collector
Molina Healthcare 4.4
Cincinnati, OH jobs
JOB DESCRIPTION Job SummaryProvides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records. - Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. - Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. - Provides project management support to leadership via coordination, identification, pursuit and collection of medical records and other required data with other HEDIS staff. - Participates in meetings with vendors related to the medical record collection process. - Some medical records collection related travel may be required. Required Qualifications- At least 1 year customer service experience, preferably in an administrative support capacity in a health care setting, or equivalent combination of relevant education and experience. - Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. - Excellent customer service and active listening skills. - Proficiency with data analysis tools (e.g., Excel). - Ability to manage files, schedules and information efficiently. - Ability to effectively interface with staff, clinicians, and leadership. - Strong prioritization skills and detail orientation. - Strong verbal and written communication skills, including professional phone etiquette. - Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications - Registered Health Information Technician (RHIT). - Medical records collection experience. - Managed care experience. - Basic knowledge of Healthcare Effectiveness Data Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). - Project planning experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $31.71 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-31.7 hourly 7d ago
Medical Records Collector
Molina Healthcare 4.4
Akron, OH jobs
JOB DESCRIPTION Job SummaryProvides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) specific data collection, projects and audit processes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Outreaches to providers via phone call, fax, mail, electronic medical record system retrieval and direct on-site pick up for collection of medical records. - Loads medical records and reports from provider offices into the Healthcare Effectiveness Data and Information Set (HEDIS) application. - Supports annual HEDIS audit and other like audits, and organizes provider outreach, pursuit, collection and upload of provider medical records into the internal database. - Provides project management support to leadership via coordination, identification, pursuit and collection of medical records and other required data with other HEDIS staff. - Participates in meetings with vendors related to the medical record collection process. - Some medical records collection related travel may be required. Required Qualifications- At least 1 year customer service experience, preferably in an administrative support capacity in a health care setting, or equivalent combination of relevant education and experience. - Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. - Excellent customer service and active listening skills. - Proficiency with data analysis tools (e.g., Excel). - Ability to manage files, schedules and information efficiently. - Ability to effectively interface with staff, clinicians, and leadership. - Strong prioritization skills and detail orientation. - Strong verbal and written communication skills, including professional phone etiquette. - Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications - Registered Health Information Technician (RHIT). - Medical records collection experience. - Managed care experience. - Basic knowledge of Healthcare Effectiveness Data Information Set (HEDIS) and National Committee for Quality Assurance (NCQA). - Project planning experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $31.71 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$21.7-31.7 hourly 5d ago
Collections Specialist I - HMO/PPO (Remote)
Community Health Systems 4.5
Remote
The Collections Specialist I - HMO/PPO is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective communication with insurance payers, documentation of account activity, and adherence to applicable regulations to support revenue cycle operations. As a Collections Specialist I at Community Health Systems (CHS) - SSC Nashville, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. Benefits: Comprehensive Health Coverage - Medical, dental, and vision plans to keep you and your family healthy. Future Security: 401(k) with matching Student Loan Support - Up to $10,000 repayment assistance, because we invest in your future. Educational Tuition Assistance Competitive Pay & Full Benefits - A salary and package designed to reward your expertise and dedication. Paid Time Off Essential Functions Performs follow-up on outstanding insurance balances within the required timeframe, obtaining payment confirmation or required documentation. Documents all actions taken on accounts within the appropriate system, ensuring a clear and traceable resolution process. Makes the required number of outbound calls to insurance payers while maintaining professional and courteous communication. Handles and resolves incoming correspondence within five days of receipt, updating the system with relevant information. Analyzes assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance, and credit reports to maximize collection efforts. Processes inbound and outbound calls professionally, providing exceptional customer service while resolving outstanding balances. Ensures proper application of account dispositions and follows self-pay policies and procedures. Adheres to all local, state, and federal laws and regulations, including FDCPA, TCPA, FCRA, CFPB, PCI, UDAAP, and HIPAA compliance standards. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications H.S. Diploma or GED required Associate Degree in Business, Finance, Healthcare Administration, or a related field preferred 0-2 years of experience in medical collections, accounts receivable, billing, or healthcare revenue cycle operations required Experience working with insurance follow-up, claim resolution, and payer communication in a healthcare setting preferred Knowledge, Skills and Abilities Strong understanding of medical collections processes, payer reimbursement policies, and insurance claim resolution. Proficiency in electronic medical record (EMR) systems, patient accounting systems, and collections software. Knowledge of insurance contracts, denials management, and accounts receivable workflows. Excellent problem-solving and analytical skills to research and resolve outstanding claims. Effective verbal and written communication skills to interact with insurance payers, patients, and internal teams. Strong attention to detail with the ability to document account activity accurately. Ability to work independently in a fast-paced environment while meeting productivity and quality standards. Knowledge of regulatory compliance, including HIPAA, FDCPA, and applicable healthcare finance laws. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we make sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
$30k-35k yearly est. Auto-Apply 2d ago
Coding Account Resolution Specialist-Inpatient
HCA 4.5
Collector job at HCA Healthcare
Introduction Do you want to join an organization that invests in you as a Coding Account Resolution Specialist-Inpatient? At Parallon, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years. This position is a work from home position! Some flexibility in the schedule! Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. * Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. * Free counseling services and resources for emotional, physical and financial wellbeing * 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) * Employee Stock Purchase Plan with 10% off HCA Healthcare stock * Family support through fertility and family building benefits with Progyny and adoption assistance. * Referral services for child, elder and pet care, home and auto repair, event planning and more * Consumer discounts through Abenity and Consumer Discounts * Retirement readiness, rollover assistance services and preferred banking partnerships * Education assistance (tuition, student loan, certification support, dependent scholarships) * Colleague recognition program * Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) * Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Coding Account Resolution Specialist-Inpatient like you to be a part of our team. Job Summary and Qualifications The Coding Account Resolution Specialist-III (CARS-III) works inpatient coding related alerts/edits, predominately post initial/final coding. The CARS-III performs the alert/edit resolution activities in the applicable systems. The alerts/edits shall be worked according to the established procedures and thresholds, and communicated as appropriate. What you will do in this role: * Compiles daily work list from eRequest, CRT and/or other alert/edit systems * Takes action and resolves alerts/edits daily following established procedures and thresholds * Enters detailed notes to update eRequest to provide details if the alert/edit cannot be resolved or must be rerouted to another responsible party for research/resolution * Escalates alert/edit resolution issues as appropriate to minimize final billing delays * Monitors the aging of accounts held by an alert/edit, prioritizes aged accounts first, and reports to leadership * Works with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits * Assigns interim DRGs for in-house patients at month end * Completes MOCK abstracts as necessary (e.g., combining the codes for outpatient and inpatient claims subject to the payment window) * Assists the Coding Leads and/or Coding Managers in resolving unbilled reason codes (URC)/Hold Reasons * Communicates coding revisions to the applicable party (e.g., CIS, lead, manager, international log) * Periodically works with their Manager to review individual work accomplishments, discuss work problems/barriers, discuss progress in mastering tasks and work processes, and discusses individual training needs and career progression * Adheres to all applicable coding and billing regulations and guidance, including but not limited to, CMS, AHA and HCA policies and guidelines * As needed, may periodically be asked to perform Coding Integrity Specialist III (CIS-III) duties * Meets all educational requirements as stated in Company and HSC policy * Reviews all official data quality standards, coding guidelines, Company policies and procedures and clinical/medical resources to assure coding knowledge and skills remain current * Practice and adhere to the Company's Code of Conduct philosophy * Practice and adhere to the Company's Mission and Values * Other duties as assigned Qualifications: * High School graduate or GED equivalent preferred, undergraduate (associates or bachelors) degree in HIM/HIT preferred * 1-year acute care inpatient coding experience require with 3 years' experience preferred * RHIA, RHIT and/or CCS preferred Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. " "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Coding Account Resolution Specialist-Inpatient opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$29k-35k yearly est. 20d ago