HEDIS Service Associate I

Location: REMOTE
Salary: Dependent on Experience
Description:

Judge Healthcare is seeking a Hedis Service Associate in the Southern, CA area!

Job Details:

Title: Hedis Service Associate

Location: Remote, but prefer the Southern CA area

Type of Engagement: Contract

Rate: Competitive and Dependent on Experience

Summary

Responsible for providing basic administrative and telephonic support for department working in a fast paced environment in order to meet deadlines within the project. Candidate will work under the direction of the Lead to assist and fulfill requests by contacting and corresponding with provider practices. A high degree of professionalism and team effort is expected to be maintained throughout the project.


Specific Duties:

  • Working at a fast pace this candidate must maintain fax equipment ,camera/scanner, retrieve previously scanned information, place telephone calls to provider offices, monitor fax process request records, oversee incoming and outgoing fax documents, copy, verify label, sort, prepare batches, retrieve information, file, type, collate, distribute; assemble and scan/upload documents.
  • Candidates are also required to book appointments, verify information, and communicate with provider offices efficiently and accurately.
  • Candidate shall schedule HEDIS office reviews, confirm next day appointments, verify addresses for fax and mail, and maintain tracking log and calendar.
  • Medical record confidentiality is maintained, and records are stored in locked cabinets and retrieved as requested by staff and Auditors.
  • Candidate will be responsible to assist abstractors by utilizing research within the company's claim systems to locate where members received care.
  • Candidates under team direction are at times directed to call members inquiring about the provider of their care. A high degree of professional telephonic dialog is maintained.


Must have qualifications/experience:

  • Requires High School diploma
  • Bilingual in Spanish
  • 6 months related work experience or an equivalent combination of education and experience.
  • Candidates who have familiarity with medical terminology, customer service, call center background and prior HEDIS experience would have priority for this position.
  • Candidates must have basic Excel skills and must have the ability to type 30-40 WPM.
  • Needs reliable transportation.


Hours:

  • Mon - Fri 8 AM to 5 PM

Please send your resume to Dominique DeMarco - DDeMarco2@judge.com for immediate consideration.

Thank you for your time and I look forward to hearing from and working with you.

Regards,

Dominique DeMarco

Recruiter

The Judge Group


Contact: ddemarco2@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
Company
The Judge Group
Posted
09/11/2021
Type
Full time
Location
Atlanta, GA 30383, US