Aditi Consulting
Medical Review 2
Aditi Consulting, Long Beach, California, us, 90899
Summary:The main function of a Medical Reviewer is to ensure accuracy and compliance of healthcare documentation and information to confirm they meet regulatory standards.
Job Responsibilities:
Perform medical record abstraction & enter findings into Database.Identify Pursuit Opportunities & Track progress.Call provider offices & hospitals to request medical records.Call members to identify date & provider of HEDIS service.Data enter call results in Pursuit Database.Coordinate with Collector and manage caseload.Communicate with team members to effectively manage project assignments.
Skills:
Verbal and written communication skills, multi-tasking, customer service skills and interpersonal skills.Strong ability to work independently and manage one's time.Strong ability to keep information organized and confidential.Must be proficient with access-like databases and conducting most/all work activities on computer only.
Qualifications:
High school diploma or GED required2-4 years
Compensation:The pay rate range above is the base hourly pay range that Aditi Consulting reasonably expects to pay someone for this position (compensation may vary outside of this range depending on several factors, including but not limited to, a candidate's qualifications, skills, competencies, experience, location and end client requirements).
Benefits and Ancillaries:Medical, dental, vision, PTO benefits and ancillaries may be available for eligible Aditi Consulting employees and vary based on the plan options selected by the employee.
Aditi Consulting LLC uses AI technology to engage candidates during the sourcing process. AI technology is used to gather data only and does not replace human-based decision making in employment decisions.
#AditiConsulting
Job Responsibilities:
Perform medical record abstraction & enter findings into Database.Identify Pursuit Opportunities & Track progress.Call provider offices & hospitals to request medical records.Call members to identify date & provider of HEDIS service.Data enter call results in Pursuit Database.Coordinate with Collector and manage caseload.Communicate with team members to effectively manage project assignments.
Skills:
Verbal and written communication skills, multi-tasking, customer service skills and interpersonal skills.Strong ability to work independently and manage one's time.Strong ability to keep information organized and confidential.Must be proficient with access-like databases and conducting most/all work activities on computer only.
Qualifications:
High school diploma or GED required2-4 years
Compensation:The pay rate range above is the base hourly pay range that Aditi Consulting reasonably expects to pay someone for this position (compensation may vary outside of this range depending on several factors, including but not limited to, a candidate's qualifications, skills, competencies, experience, location and end client requirements).
Benefits and Ancillaries:Medical, dental, vision, PTO benefits and ancillaries may be available for eligible Aditi Consulting employees and vary based on the plan options selected by the employee.
Aditi Consulting LLC uses AI technology to engage candidates during the sourcing process. AI technology is used to gather data only and does not replace human-based decision making in employment decisions.
#AditiConsulting