Member Risk Adjustment Coordinator I



BC Forward is looking for Member Risk Adjustment Coordinator I (Remote) in Indiana


Position Title: Member Risk Adjustment Coordinator I (Remote)




Locations: REMOTE - IN (EST)


Anticipated Start Date: 11/25


Expected Duration: 12 Months


Job Type: Contract with possible extension


Shift: 8am-5pm EST (lunch noon-1pm), No OT required


Pay Rate: $20.00/hr on W2


Need: Previous EMR experience and provider services experience.







Job Description:

Position Purpose: Schedule appointments, gather medical histories and updated member and provider information in support of member outreach and claims reimbursement.

Basic focus of staff is to get medical records from provider offices and hospitals for a large project as quickly as possible
Download records from various EMR systems
Calling provider offices and Medical Record offices to retrieve information for requesting medical records
Training for internal systems will be provided
Metrics will be provided during training. Different metrics for each step of the process (EMR Downloads, Claims research, Provider calls)

Required Skills/Experience:
EMR Experience
Basic Microsoft Excel and Basic Microsoft Word
Flexible with workload and can adapt to daily changes

Preferred Skills/ Experience:
Customer Service and great Communication Skills
Quick learner
Knowledgeable of Technology

Software Skills Required: Excel, Word, Microsoft Office

Education/Experience: High school diploma or equivalent. 0-2+ years of customer service or medical office experience. Experience with preserved medical record retrieval systems preferred. Billing or coding experience preferred. Beginner level Excel skills.

Responsibilities:
* Assist members with scheduling office visits with primary care provider.
* Retrieves charts from electronic medical record systems and compile medical records to send to other parties for coding.
* Requests medical records by making outbound phone calls to provider groups.
* Completes supplemental medical records requests using Excel files.
* Assist with providing updated member and provider information to vendors.
* Directs medical record requests to the responsible party.
* Resolves outstanding vendor pends within a timely manner by updating member and provider demographics and working with chart load issues.
* Ensure follow up on member appointments or other tasks designated.
* Assist with ad hoc requests.



Benefits:



BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

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About BCforward:



Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.


BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.


BCforward is 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 based on disability.


To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.


This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.


Interested candidates please send resume in Word format Please reference job code 230388 when responding to this ad.


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Job Snapshot




Employee Type

Contractor



Location

Indianapolis, IN (Onsite)



Job Type

Health Care



Experience

Not Specified



Date Posted

10/16/2024