Description Do you have HEDIS experience? Join a Fortune 500 Healthcare company on a fully remote, long term contract opportunity with potential for full time hire! Hours are 8AM-5PM CST for the first 4 weeks of training, then shift to 8AM-5PM in your time zone! No time off allowed during the month of November due to training.Position: Retrieval Specialist
Retrieval Operations integrates talented individuals with expertise and experience in many areas of risk adjustment and quality improvement, including HEDIS®, CAHPS and Accreditation. Our goal is to achieve extraordinary performance that exceeds the expectations of the constituents, customers, and members we serve. In this position, you will work with the Retrieval Operations staff to assist with the data collection cycle.
Optum Internal Retrieval is a program for manual retrieval of charts from Optum-owned and various external Electronic Medical Record (EMR) systems to support the chart operations retrieval effort.
The Retrieval Technicians are responsible for manually downloading, reviewing, and saving the charts from the EMR systems.
Responsibilities:
Performs duties as assigned by Operations Manager, or Director for market specific annual data collection efforts
Demonstrates effective professional verbal and written communication skills in a virtual environment and across time zones
Demonstrates proficiency in Microsoft Office: Outlook, Excel, and Word and similar applications
Manages various data organized within Excel spreadsheets
Conducts claims research, determining correct service location and/or verifying member history
Performs provider outreach, verifying and confirming provider demographics & medical record requests, both by telephone and in writing
Requests medical records and performs follow up of requests within database tools
Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately
Performs medical record reviews for risk adjustment, HEDIS® and HEDIS®-like measures via remote EMR access or onsite
Requirements
Requirements:
No time off will be allowed during the first four weeks of training
You are required to have a dedicated work area that is separated from other living areas and provides information privacy. There should be no one else in the room nor any distractions while working.
Must have appropriate childcare arrangements if child is not of the age to care for themselves.
Ability to keep all company sensitive documents secure. You are handling Protected Health Information (PHI).
Apply now to learn more about this opportunity!Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .
