HEDIS Service Associate II - Remote

Job ID: JP00044232

Anticipated Start Date: 02/12/2024

Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for contract workers (via BCforward) who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Responsible for providing administrative and telephonic support for department working on a data collection project 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.

Primary duties may include, but are not limited to:

• Working at a fast pace this candidate must communicate directly with provider offices in pursuit process by requesting medical record information and coordinating the exchange of files.
• Must be able to maintain fax equipment and support the Level I Service Associate and team by performing all the required clerical activities within the project requirements.
• Working in this position the Service Associate II also will be required to book appointments, verify information and communicate with provider offices making requests for medical record information, maintain department tracking log, and Abstractor calendars.
• An understanding of the Medical record filing system within the department is required.
• Medical 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 claims and medical record systems and locating where members received care.
• A high degree of professional telephonic dialog is maintained at all times.

Requirements:

• Requires High School diploma and 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.
• Microsoft Excel (creating, storing, filtering and manipulating data), Google Chrome Browser (Internal Software Use), and Internet (Research) experience.
• Must be computer literate.
• Able to work from home in a quiet, private environment in a secure space.
• Must be flexible with hours due to training schedule.
• Must be reliable to have no/very limited time off during the season.
• Experience: Customer Service, Outlook, TEAMS and Excel (Rename, maneuver through tabs, total numbers, count rows, viewing pivot tables, add rows/columns, copy/paste).
• Pursuit via Copy service vendors and working directly with providers over the phone to obtain Medical Records.
• Skills: customer service, good communication, phone and email etiquette, familiarity with outlook, diligent notation skills, Microsoft excel basic navigation, moderate typing skills, ability to multi task and follow through, and the ability to adapt and learn new tools.

Job Type: Contract role.

Additional Details:

• Monday-Friday 8:30am-5pm in all time zones.
• Looking for candidates located in PST or MST.
• This position will involve making phone calls to provider offices, sending request packets, and following through until the requested information is obtained.
• Some research using internal tools will be required as well as the ability to adapt to new situations based on the information obtained.
• This is a time-sensitive project so minimal time off should be taken during the season.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.