Job Description
Job Description
Position is fully onsite Monday - Friday, with local travel to medical offices , candidates should have reliable transportation. Mileage for work travel will be reimbursed.Location: 9250 NW 36th St, Miami, FL 33178
Bilingual in English & Spanish
Full benefits package offered on the first day of the month following the date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match!
Our health plan membership has grown exponentially from 8,950 to over 15,000 members in the last year!
Join our winning Solis Team!
Position Summary:
This position is responsible for coordinating the acquisition of medical records from doctor’s offices and hospitals. The coordinator will prepare record requests, conduct outreach, facilitate delivery or retrieval of medical records, validate required information is present in the record and curate the record in a standardized record repository which you will help manage.
The Medical Record Coordinator will access internal and external record systems and communicate directly with healthcare professionals to complete assignments. The coordinator will support medical record acquisition for a variety of health plan operations, including risk adjustment and HEDIS/Quality. The position will report to the Director of Risk Adjustment.
This is an excellent opportunity for a motivated individual seeking career growth and mentorship in the healthcare industry. You will learn clinical, organizational and health plan operations best practices from industry experts.
Essential Functions and Duties:
- Responsible for formulating, implementing and executing all medical record program processes, requests, workflows and policies as requested by management in a courteous and efficient manner, including offering a proactive approach to suggestions and recommendations
- Prepare medical record request documentation promptly, accurately and completely
- Responsible for acquiring medical records from internal and external sources
- Outreach to internal and external partners regarding medical record requests, and ensure communications are secure and confidential
- Ability to visit medical offices to acquire medical records
- Review of medical records acquired and confirm retrieval of required information for assigned members
- Resolve retrieval issues
- Coordinate with other teams as appropriate, including Risk Adjustment, HEDIS/Quality, Provider Relations, Information Technology, Utilization Management and Care Management
- Access and manage Medical Records repository
- Develop, monitor and report performance for improvement activities
- Escalate issues regarding medical record retrieval to manager as appropriate
- Adhere to professional standards, office policies & procedures, federal, state and local regulations
- Additional duties as assigned
Minimum Job Requirements:
- High School graduate or GED equivalent; college degree preferred
- Minimum two-years of experience working in a health plan or medical clinic environment supporting medical record management
- Willing to travel locally to provider offices
Skills and Abilities:
- Adhere to company privacy policies and maintain medical information confidentiality
- Attention to detail and quick learner
- Comfortable learning new technology platforms, specifically electronic medical records, natural language processing and artificial intelligence platforms
- Comfortable working on a laptop and Microsoft office suite
- Excellent verbal, written communication and interpersonal skills
- Courteous and comfortable working in a professional setting
- Excellent organizational skills, problem solving, ability to multitask and stay focused in a fast-paced environment
Preferred qualifications:
· 2+ years of college, in pursuance of a Bachelor's or Associate's degree in Health Care
Required Languages:
Bilingual English & Spanish