Medical Administrative Representative( HEDIS)

Remote, USA Full-time Posted 2025-03-08

Position: Medical Administrative Lead Representative

Duration: 3-4 Months Contract + High Potential to Extend...

Location: 100 % Remote

Pay : $20

Job Description:

Duties:
? Medical Administrative Lead Representative (Research Team) - This role differs from the regular HEDIS Admin role, as there is limited phone or customer outreach.
? This role will require Critical Thinking, experience with performing Research, knowledge of CPT codes and Claims data
? The Medical Administrative Lead Representative works under the direction of the **** Team Lead and other ***** personnel.
? The position requires strong communication, computer, and clerical skills.
? Daily activities include tracking assigned research in electronic systems, utilizing **** claims systems, using the Internet to gather provider/location information, and possible phone/fax outreach if needed.
? Other daily activities include the ability to manage large amounts of data electronically, file documents in electronic filing software, faxing, scanning, and abstracting documents from electronic storage devices.
? Previous experience in Microsoft Office Suite (Outlook, Excel, and Word) is required.

Skills

The candidate will possess:
? Strong computer skills, (e.g., Data entry, Microsoft Word and Outlook, Excel, PDF, WebEx, Outlook)
? Must be comfortable using multiple computer systems including working with dual monitors.
? Excellent communication skills (written and verbal)
? Must be able to perform Internet research and research using Cigna proprietary software systems
? Must be detail-oriented
? Must demonstrate tenacity to obtain the medical records
? Must have knowledge of medical terminology
? Must be a quick learner, who can demonstrate the ability to follow multi-step instructions, be a problem solver, and adhere to department protocols
? Ability to work independently and in a team environment
? Knowledge of CPT Codes and Claims data - Required for the Research Team
? Must have a secure designated work area and a reliable Internet connection as this position will be 100% work from home.

Education:
? High school graduate or GED equivalency.
? Experience with Microsoft Office Suite (Outlook, Excel, and Word) required.
? Knowledge of CPT Codes and Claims data - Required for the Research Team
? Experience as a medical assistant or clinical administrative assistant is preferred.
? Coding, claims, and medical record review experience desired but not necessary.

Scheduled Time:
? 8 am - 4:30 pm Local Time

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