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.
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