Part-Time Hedis Medical Record Reviewer

THIS POSITION WILL BE 100% REMOTE

Robert Half is helping an innovative firm locate an experienced Medical Billing Specialist with sharp technical skills to join their growing team. Take advantage of this short-term contract / temporary opportunity, set in the Minnetonka, Minnesota area. For a go-getter with real passion for the healthcare industry, this position would be ideal.

What you get to do every day:

• Performs duties as assigned by Operations Manager, or Director for market specific annual data collection efforts
• Demonstrates effective professional verbal and written communication skills in a virtual environment and across time zones
• Demonstrates proficiency in Microsoft Office: Outlook, Excel, and Word and similar applications
• Manages various data organized within Excel spreadsheets
• Conducts claims research, determining correct service location and/or verifying member history
• Performs provider outreach, verifying and confirming provider demographics & Medical Record requests, both by telephone and in writing
• Requests Medical Records and performs follow up of requests within database tools
• Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately
• Performs Medical Record reviews for risk adjustment, HEDIS® and HEDIS®-like measures via remote EMR access or onsite

- Manage elements of specific patient accounts, such as billing and reimbursement

- Submit bills to insurance organizations and patients

- Band together with other effective units to uphold quality of data and consistency

• Previous experience in Medical Records retrieval or health information management is highly preferred.
• Knowledge of HEDIS measures and familiarity with healthcare quality improvement initiatives.
• Strong organizational skills and attention to detail.
• Excellent communication and interpersonal skills for effective collaboration with healthcare providers.
• Ability to work independently and meet deadlines in a dynamic environment.
• Understanding of HIPAA regulations and commitment to maintaining confidentiality.