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
