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Job Details
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: $20.34 – $30.39 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
APPLY HERE: Medical Records Collector (Remote)
Planned Systems Interantional is seeking Customer Service Representatives to be support our Federal Emergency Management Agency (FEMA) Emergency Response Contact Center Team. This role involves providing courteous assistance over the phone, following prescribed scripts to guide callers through form submissions, ensuring accurate completion to facilitate smooth processing of claims or applications related to disaster relief and emergency management efforts.
- This is a short-term seasonal position.
- This position is remote.
- Candidate must be a citizen of the United States.
- Candidate must be able to pass a FEMA background check.
Essential Functions and Job Responsibilities
- The customer service representative will provide public support to individuals needing guidance on who to contact to resolve their situation.
- The ideal candidate for this role is passionate about ensuring excellence in service, responds quickly and effectively to customer inquiries, and is comfortable working in a fast-paced environment with a high call volume.
- Managing a high volume of incoming calls.
- Identifying and resolving customer issues accurately and efficiently.
- Providing high quality response to customer inquiries and needs.
- Building sustainable relationships with customers through professional communication.
- Providing accurate, timely, and complete information by using the right methods and tools.
- Responding to customer inquiries relating to client services, providing appropriate solutions and alternatives, and following up to ensure full resolution.
- Keeping detailed records of customer interactions, processing customer accounts, and filing documents.
- Following communication procedures, guidelines, and policies.
Minimum Requirements
- 1-year or more customer support experience or experience as a client service representative.
- English speaking proficiency (Spanish bilingual is a plus).
- Strong communications skills, including phone communications and active listening.
- Familiarity with CRM systems and practices.
- Strong research and problem-solving skills.
- Proficient with computers, switching between various applications and windows/sessions on a laptop, downloading, opening, saving, printing, and/or deleting files.
- Demonstrated ability to handle sensitive and confidential situations.
- Ability to handle crisis situations and deal with difficult inquirers.
- High School Diploma or GED.
APPLY HERE: Customer Service Representative
Patient Engagement Specialist
Job Details
HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, HarmonyCares operates home-based primary care practices in 14 states. HarmonyCares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model.
Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care.
Our Shared Vision – Every patient deserves access to quality healthcare.
Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other.
Why You Should Want to Work with Us
- Health, Dental, Vision, Disability & Life Insurance, and much more
- 401K Retirement Plan (with company match)
- Tuition, Professional License and Certification Reimbursement
- Paid Time Off, Holidays and Volunteer Time
- Paid Orientation and Training
- Great Place to Work Certified
- Established in 11 states
- Largest home-based primary care practice in the US for over 28 years, making a huge impact in healthcare today!
More details about the benefits we offer can be found at https://careers.harmonycares.com/benefits.
Responsibilities
The Patient Engagement Specialist is responsible for new patient acquisition. The role is critical to drive the growth of the organization and meet our patient engagement commitments to HarmonyCares customers and partners. The Patient Engagement Specialist is responsible for reaching out to eligible patients to explain services, addressing a variety of inquiries, gathering feedback, and scheduling new patient appointments. The Patient Engagement Specialist is to address questions quickly while providing responses and meeting the needs of the patient and HarmonyCares internal team members in a timely, calm, and professional manner. The PES develops a deep level of trust with patients in a vulnerable chapter of life, understanding their needs, engaging the patient on how HarmonyCares can best support them and their families, and orchestrating the initial engagement with the clinical team.
Essential Duties and Responsibilities
- Conduct outbound calls to eligible patients and working to facilitate efficient scheduling of initial in-home appointments
- Ensure patients receive a detailed explanation of program services
- Thoroughly and accurately document call notes and scheduling details in electronic system
- Expedite emergency clinical calls as needed
- Process new appointments or changes to existing appointments
- Document accurate and concise patient/family feedback and special needs during each call in our systems, enabling our market-based clinicians to provide excellent care during each appointment
- Must achieve and sustain expected metrics set by department leadership to include but not limited to: Quality Scores, Acceptance Rates, Number of Patients Engaged and Alignment with Harmony Care Core Values
- Demonstrate compassion for individual needs, attention to detail, and collaborating with other team members
- Demonstrate a high level of professionalism and continuous improvement while participating in the call quality monitoring processes
- Utilizes exceptional communication and social skills to clearly explain services and needs to patient/family
- Complete ongoing training and coaching programs for further skills development by deadlines
- Work collaboratively and efficiently with other corporate and market based team members to ensure patients receive exceptional service
- Perform other duties as assigned
Qualifications
Required Knowledge, Skills and Experience
- High school diploma
- Ability to multi-task while given competing priorities
- Ability to communicate in an empathetic, compassionate, and professional demeanor at all times
- Ability to problem solve with demonstrated capacity to embrace complex problems and arrive at effective solutions in a timely manner
- Ability to analyze problems and resolve issues in a rapid, direct and complete manner
- Demonstrates short and long-term persistence in meeting objectives and personal development
- Ability to adapt to new systems and changes as required and apply guidelines/procedures
- Excellent communicator with an uplifting and personable manner with outstanding phone etiquette
- Excellent written communication skills with success in providing notes, updates, and written communications via computer systems
- Excellent data-entry skills and proven ability to navigate multiple computer screens
Preferred Knowledge, Skills and Experience
- Bachelor’s degree
- 1 year or more of experience and success in exceeding individual and team goals in an inside sales, telephonic sales, fundraising or similar position
- Working knowledge of the healthcare industry
- Ability to speak multiple languages fluently
Posted Min Pay Rate USD $20.10/Hr.
Posted Max Pay Rate USD $25.69/Hr.
APPLY HERE: Patient Engagement Specialist
Product Support Specialist
Job Details
At Mitratech, we are a team of innovators focused on building world-class products that simplify operations in the Legal, Risk, Compliance, and HR functions. We are a close-knit, globally dispersed team that thrives in an ecosystem that supports individual excellence and takes pride in its diverse and inclusive work culture centered around great people practices, learning opportunities, and having fun! Our culture is the ideal blend of entrepreneurial spirit and enterprise investment, enabling the chance to move at a rapid pace with some of the most complex, leading-edge technologies available.
For over 35 years, the experts at Mitratech have been focused on solving complex needs. Today, we serve 20,000 client companies of all sizes globally, representing 30% of the Fortune 500 and over 500,000 users in over 160 countries. As we continue to grow, we’re always looking for resourceful, enthusiastic, and fresh perspectives. Join our global team and see what makes Mitratech a truly exceptional place to work!
Job Overview
- Serve as the first point of contact via phone, chat, email, and web-based support portal to provide solutions
- Research, troubleshoot, and resolve support issues within response and resolution goals. As needed, identify workarounds and communicate to customers
- Provide solutions where issues are identified via the self-service portal
- Maintain detailed call and email records for all customer interactions
- Prioritize and resolve issues based on service level agreements and severities
- Responsible for meeting customer satisfaction goals monthly
Requirements & Skills:
- 6 months – 1 year of experience working in a customer service environment
- Highly dependable and professional
- Excellent problem-solving and listening skills
- Highly motivated, self-starter with a positive attitude
- Proficient/fluent English-language written and verbal communication skills
- Experience using case management systems (Salesforce.com, Jira, Zendesk)
- Experience with Windows Operating Systems and Microsoft Office applications
Compensation
We will disclose intended pay ranges in our job ads for US-based opportunities. This role can be performed 100% remote, anywhere in the US. Anticipated Pay Range: $45,000 – $55,000 Annually USD
Total compensation includes US employee benefits and annual bonus eligibility.
Benefits we offer:
- Health, Dental & Vision Insurance *
- 401 (k) + Employer Match *
- Open PTO + 11 Paid Holidays + 4 Annual Paid Global Wellness Days Off
- STD, LTD & Group Life Insurance
- Paid Parental Leave
- Pet Insurance
- FSA & HSA Options
- Employee Assistance Program
Perks we offer:
- Remote Work
- Career Advancement & Professional Development Opportunities
- Employee Recognition
- LinkedIn Learning Platform
APPLY HERE: Product Support Specialist
Verifications Specialist
Job Details
At Mitratech, we are a team of technocrats focused on building world-class products that simplify operations in the Legal, Risk, Compliance, and HR functions. We are a close-knit, globally dispersed team that thrives in an ecosystem that supports individual excellence and takes pride in its diverse and inclusive work culture centered around great people practices, learning opportunities, and having fun! Our culture is the ideal blend of entrepreneurial spirit and enterprise investment, enabling the chance to move at a rapid pace with some of the most complex, leading-edge technologies available.
For over 35 years, the experts at Mitratech have been focused on solving the complex needs. Today, we serve 20,000 client companies of all sizes globally, representing 30% of the Fortune 500 and over 500,000 users in over 160 countries.
As we continue to grow, we’re always looking for resourceful, enthusiastic, and fresh perspectives. Join our global team and see what makes Mitratech a truly exceptional place to work!
Job Overview
The Verifications Specialist is responsible for using telephone, email and fax to communicate with employers, schools, state boards, and online databases to verify current and previous employment, education, professional licenses, certifications and references for our clients as part of their pre-employment screening process. Pre-employment screening orders must be processed according to contractual agreements and client standards.
Essential Duties & Responsibilities:
● Process verifications using telephone, email and fax
● Provide professional service to third-party verifiers and applicants
● Handle Personal Identifying Information confidentially and responsibly
● Interact with companies from all over the United States
● Make outbound calls to gather information and confirm that the information is correct
● Log clear and detailed notes documenting research steps and actions taken on screening
● Analyze collected data and personal documents and evaluate their relevance and applicability
● Prepare accurate and grammatically correct screenings
● Maintain a personal performance level that meets or exceeds the established production and quality goals of the department
● Conduct scheduled virtual meetings with new employees to complete Section 2 of Form I-9.
Requirements & Skills
● Expert computer skills (Internet Searches, Database Lookups)
● Outstanding verbal and written communication skills, including high proficiency or fluency in English
● Excellent problem-solving skills
● Ability to work independently and problem-solve
● Energetic, self-motivated, and detail-oriented
● Ability to manage multiple priorities using time management and organization skills
● Team player with the ability to work with a wide variety of people in local and remote locations
Education:
-
High School Diploma or GED required
APPLY HERE: Verifications Specialist