[Hiring] Member Risk Adjustment Coordinator I @Mindlance

Role Description

Schedule appointments, gather medical histories and updated member and provider information in support of member outreach and claims reimbursement.

• 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.

Qualifications

• High school diploma or equivalent.
• 0-2 years of customer service or medical office experience.
• Experience with preserved medical record retrieval systems preferred.
• Billing or coding experience preferred.
• Beginner level Excel skills.

Requirements

• Telephone Skills.
• Fast paced.
• Multitasking – time management skills.
• Computer savvy.
• Self-motivator.

Benefits

• We are a cohesive team that provides stability.
• We network with our providers and team.
• Provide a professional environment.
• In a remote setting, we provide an open-door concept as well as partnerships and team collaboration.

Company Description

Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.