Job Description
TITLE: Member Risk Adjustment Coordinator
LOCATION: Charlotte, NC 28262 (in-office)
DURATION: 6 month contract
SCHEDULE 8:00am – 5:00pm
AS THIS CLIENT WILL REQUIRE ALL WORKERS IN THIS ROLE TO ATTEND WORK OR TRAINING ONSITE, PROOF OF COVID-19 VACCINATION IS A CONDITION OF EMPLOYMENT. IF YOU ARE HIRED, WE WILL REQUIRE YOU TO PROVE THAT YOU HAVE RECEIVED THE COVID-19 VACCINE, OR HAVE A VALID RELIGIOUS OR MEDICAL REASON NOT TO BE VACCINATED.
JOB DESCRIPTION:
Position Purpose: Schedule appointments, gather medical histories and updated member and provider information in support of member outreach and claims reimbursement.
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.
EDUCATION/EXPERIENCE:
High school diploma or equivalent.
1-2+ years of customer service or medical office experience REQUIRED
Experience with preserved medical record retrieval systems preferred.
Billing or coding experience preferred.
Excel skills.
Company Description
We place top talent through our divisions: Technology, Staffing, Professionals, Talent Digitalization, and Pyramid Academy. Our flexible staffing options include contract, contract-to-hire, direct hire, and SOW/Statement of Work. We deliver top talent to our clients by combining the use of the latest technology with the subject-matter expertise that our seasoned team of recruiters brings to the process. With the integration of smart sourcing tools, machine learning, and AI/Artificial Intelligence into our screening process across the organization; we evaluate a large volume of candidates to find the most suitable talent.