Role overview

Qualifications

Health plan and/or medical office experience/basic knowledge of managed care principles (HMO, PPO, Medicare)
Medical terminology knowledge
Previous experience working with grievances/quality of care concerns

Responsibilities

Request medical records and/or response requests from providers fax, secure email, or remote electronic medical record system.
Validate provider contact information and update department repository accurately.
Follow up on medical records and/or response requests via phone or email and implement appropriate action.
Manage incoming medical records/responses accurately and timely.

Key facts

Remote from: California (USA)
Full time
Technical Support Director
English

Hard skills

Medical Record Management Data Entry Provider Network Management Hospital Experience Grievance Arbitration

Other skills

Teamwork
Communication
Problem Solving
Time Management

About the company

ICONMA

Human Resources, Staffing & Recruiting

We provide Professional Staffing Services & Project-Based Solutions for a broad range of Fortune 500 organizations. ICONMA is a certified Woman-Owned staffing company and was founded in 2000. ICONMA’s corporate headquarters is in Troy, Michigan, and has 15+ locations worldwide. What makes ICONMA stand out in a fiercely competitive industry? *We provide integrated, full lifecycle services across a broad range of business and technical platforms. *No single company can duplicate our full range of staffing and permanent recruiting services nationwide. *Proven track record of attracting and retaining exceedingly skilled professional workers in a highly competitive market. SERVICES OFFERED Staff Augmentation (Contract, Contract to Hire, Direct Hire, Single Source) Data Analysis Project-Based Services & Solutions Hire Train Deploy Service Model Offshore Staff Augmentation Payroll Services AREAS OF EXPERTISE - Information Technology - Engineering - Business Professional - Accounting/Finance - Admin/Clerical/Call Center - Healthcare/Clinical/Scientific - Marketing/Creative mail linkedin@iconma.com Phone (888) 451-2519 Website http://www.iconma.com

Company details

Company typeLarge

IndustryHuman Resources, Staffing & Recruiting

Company size1001 - 5000

Links

Website LinkedIn See all jobs

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Job description

Our Client, a Healthcare company, is looking for a Clinical Support Coordinator 1 for their Remote location.

Responsibilities:

Request medical records and/or response requests from providers fax, secure email, or remote electronic medical record system.
Validate provider contact information and update department repository accurately.
Follow up on medical records and/or response requests via phone or email and implement appropriate action.
Manage incoming medical records/responses accurately and timely.
Review medical records upon receipt for content prior to sending for clinical review.
Follow up with provider if records are incomplete.
Consult with CQR Lead/RN as needed on requests and request status.
Prioritize tasks and assignments to meet turnaround time goals.
Research provider and member information using internal applications (claims, PCP information, plan type).
Be an active team member and promote a positive work environment.
Provide input for continuous process improvement.
Enter accurate data into department database to ensure accurate reporting.
Work under limited to moderate supervision on routine tasks.
Deliver on day-to-day objectives which impact the overall of department goals.

Requirements:

Health plan and/or medical office experience/basic knowledge of managed care principles (HMO, PPO, Medicare)
Medical terminology knowledge
Previous experience working with grievances/quality of care concerns

Why Should You Apply?

Health Benefits
Referral Program
Excellent growth and advancement opportunities