Medical Record Retrieval Specialist I (Hybrid)

Medical Record Retrieval Specialist I (Hybrid) in Baltimore, MD - CareFirst

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Medical Record Retrieval Specialist I (Hybrid)

Job ID: 22656

Job Function: Medical Management

Location: Baltimore, MD, United States

Campus: Baltimore, MD

Career Band: BDII

Status: Full-Time

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Resp & Qualifications

PURPOSE:

The Medical Record Retrieval Specialist I will coordinate and implement activities supporting accurate and timely document management and retrieval efforts, adherence to regulatory and project timelines, and protection of the privacy of individuals'' health information according to HIPAA. This role will perform outreach to provider offices to coordinate record retrieval efforts and maintain the provider contact database.

This role requires candidates to be located in the Maryland, Washington, DC, or Northern Virginia (DMV) area. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week.

ESSENTIAL FUNCTIONS:

• Contacts provider offices with a high degree of professionalism and confidence to communicate expectations, charts required, etc. Establishes relationships with providers and ROI (Request of Information) vendors. Assists providers offices with the process of sending medical records. Educates, trains, provides support to providers staff on the different methods to send medical records. Analyzes and monitors progress of incoming correspondence including medical records to determine which organizations will need additional outreach. Identifies, investigates, and resolves issues related to incoming correspondence.
• Conducts provider outreach and research to locate contact information of medical providers that may be practicing, retired, or otherwise relocated. Updates and maintains the Provider Database. Communicates professionally with medical facilities, third party vendors, and Company stakeholders.
• Develops tracking and monitoring methods for medical record requests. Manages and maintains medical records repository. Ensures accuracy, timeliness of record uploads, compliance with processes to protect PHI, and effective tracking of records and record requests. Performs processing tasks such as: sorting incoming mail, preparing documents for scanning, retrieving information from Right Fax, and moving documents as appropriate to the repository or vendor platform. Conducts retrieval of medical records via fax, mail, remote electronic medical record access or onsite visits at the provider location, using computer systems and applications for data entry, edits, and information retrieval as required.
• Assumes a key role in the development of new processes and tracking systems to support best practice record keeping and document management procedures. Identifies process issues and contributes to the design of solutions. Proactively implements process improvements. Assists internal team and provider groups to troubleshoot any logistical or technical issues regarding record requests or retrieval.

QUALIFICATIONS:

Education Level: High School Diploma or GED.

Experience: 3 years'' experience in healthcare operations, medical record retrieval, risk adjustment, audit support, provider outreach, health information management or related operational experience.

Preferred Qualifications:

• Associate''s degree in Healthcare Management, Health Information Management, Business or related field.
• Knowledge of medical record retrieval operations, provider workflows, and healthcare documentation requirements.

Knowledge, Skills and Abilities (KSAs)

• Ability to effectively communicate (oral and written) and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
• Strong organizational skills, ability to prioritize responsibilities with attention to detail.
• Knowledge of HIPAA, PHI protection requirements, and healthcare regulatory standards.
• Experience in using Microsoft Office (Excel, Word, Power Point, etc.) and Adobe Pro and demonstrated ability to learn/adapt to computer-based tracking and data collection tools.
• Self-motivated, able to take initiative, and work independently with minimal oversight to meet timelines, strong follow-through skills and a solutions-oriented attitude.
• Intermediate keyboard skills (typing, computer entry). Ability to work with multiple system applications simultaneously.

Salary Range: $41,472 - $76,032

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate''s work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case''s facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Risk Adjustment

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship.

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Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or generic information.

Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. To comply with this law, CareFirst must collect information regarding an employee's identity and employment eligibility and document that information on a document referred to as Form I-9, Employment Eligibility Verification, no later than three business days from when the employee begins work for pay. If you are hired, you will be required to provide certain information on the form necessary to establish your identity and eligibility to work in the United States and certain required supporting documents.

If you experience any technical difficulties during this process, please send an email detailing the specific problem you are having to careers@carefirst.com and we will respond as soon as possible.

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c) If you believe that you have experienced discrimination, contact OFCCP at 800-397-6251 (TTY 877-889-5627) or www.dol.gov/ofccp.

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