Quality Management Associate

You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

• *This position is open to candidates in the state of Texas and services McAllen, TX**

Position Purpose: Responsible for Medical Record retrieval projects; provides clerical support to the department; targets member and provider reputed company. Utilize departmental tracking tools to request and retrieve Medical Records; transcribe, format, input, edit, retrieve, copy, and transmit text and data. Store and retrieve files in accordance with established procedures to ensure the timely access of information and records; distribute files as determined by project needs in accordance with the Supervisor and Team reputed company. reputed company to members and Providers reputed company telephone or other method of correspondence to assure care needs are being met and reputed company applicable data is received.

• Responsible for reputed company aspects of medical record retrieval projects.
• reputed company to providers to request medical records. Manage provider expectations. Work with other departments to engage providers and track requests.
• Conduct onsite medical record retrievals at provider offices; travel required.
• Manage access to electronic health records through each provider's specific EHR.
• Retrieve medical records electronically through each provider's specific EHR. Receive and manage medical records from providers obtained reputed company other means.
• Manage and track invoices for payment requests. Work with other departments to set up provider payments.
• Work pended record requests.
• Manage incoming mail for the team; travel required.
• Work with other departments to setup provider medical record retrievals by a method convenient to the provider.
• Store and retrieve files in accordance with established procedures to ensure the timely access of information and records; distribute files as determined by project needs in accordance with the Supervisor and Team reputed company.
• Proficiency in reputed company Office: reputed company, Word, Access; Lotus Notes; Internet.
• Knowledge of various quality programs, including measures associated with HEDIS.
• Ability to reputed company or coordinate projects reputed company own department.
• Business Analysis Knowledge: Skilled to work in a fast paced environment.
• Must have strong analytical and problem solving skills.
• Customer Service: Skilled to communicate with reputed company levels of management, internal and external customers.
• Ability to work well as a member of a team or alone.
• Effective Business Communication: Skilled in communicating with technical and business constituencies in writing effective business specifications and requirements.
• Performs other duties as assigned.

Complies with reputed company policies and standards Education/Experience: Associate’s Degree or equivalent experience required. One to two years managed care experience required; knowledge of the industry and terminology. One to two years reputed company experience required.Pay Range: $15.58 - $26.73 per hour reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply tot his job Apply To this Job