Equity Staffing is searching for a Patient Registration Representative in Lakewood, CO. This position is with a Fortune 500 organization. Our client serves more than 85 million people and has a reputation for bold ideas. If you enjoy working with energetic people in a collaborative environment, we want to speak with you!

Operation Function: West Collection

** Telecommuter** Travel Required – Market Data Collection

Retrieval & Abstraction Operations integrates talented individuals with expertise and experience in many areas of quality improvement, including HEDIS®, CAHPS and Accreditation. Our goal is to achieve extraordinary performance that exceeds the expectations of the constituents, customers, and members we serve. In this position, you will work with the Retrieval & Abstraction Operations staff to assist with the data collection cycle.
The purposes of this role include, but are not limited to:
1. Market specific data collection efforts
2. Provider outreach
3. Medical record review for HEDIS® and HEDIS®-like measures
The candidate must be technically savvy and must be able to work without distraction. This is a high production environment, and candidates must adhere to measured productivity requirements.
Responsibilities:

• Schedules on-site reviews with provider offices, medical groups, and other clinical facilities
• Travels to medical facilities in specified area of region to complete chart reviews
• Stays overnight when necessary
• Performs provider/practitioner medical record reviews for HEDIS® and HEDIS®-like measures as part of HEDIS® Retrieval Operations staff
• Reviews assigned medical records in order to verify clinical data elements for HEDIS® reporting, e.g., results of laboratory tests, verification of hypertension and the most recent blood pressure reading, prenatal and postpartum care services
• Integrates data collected from a variety of electronic and paper sources
• Demonstrates proficiency in Microsoft Office: Outlook, Excel, and Word and similar applications

o Manages various data organized within Excel spreadsheets

• Identifies findings supported by documentation guidelines with high level of accuracy
• Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately.
• Communicates identification of pursuit leads for additional medical records, if needed, to other members of the team
• Attends conference calls as necessary to provide information relating to clinical reviews and compliance
• Successfully completes HEDIS® technical specification training and testing
• Successfully completes HEDIS® software training and uses software correctly
• Is responsible for meeting daily over read production goal
• Performs other duties as assignedThis is a Telecommute Position, Monday - Friday, 8:00am-5:00pm in time zone as appropriate – Flex as necessary after training. With the ability to commit to entire January – May assignment with no or minimal absences.
• Ability to commit to entire January – May assignment with no or minimal absences

Required Qualifications:

• Requires use of personal vehicle

o Valid driver’s license required when personal vehicle use is necessary

• Ability to stay overnight when necessary
• Minimum 1 year healthcare/health plan experience
• Minimum 1-year HEDIS® experience and/or knowledge
• Solid knowledge of managed care requirements related to clinical quality
• Research and detail oriented, excellent proof-reading skills
• Excellent time management and prioritization skills
• Designated workplace inside home (virtual)
• Reliable internet connection (virtual)
• Strong communication skills
• Strong proficiency with Microsoft Office applications, including: Word, Excel, Adobe, and PowerPoint
• Critical thinking skills
• Results-driven independent worker, and self-starter

Preferred Qualifications:

• Clinical degree highly preferred, including, but not limited to: RN, LVN, LPN
• Current, unrestricted state license in applicable field
• Experience working with HEDIS® software (data entry, reporting)
• Experience in medical record review (vendor or health plan; onsite or fax/mail)
• Experience working in EMR systems

Equity Staffing Group is one of the fastest growing Native American owned staffing companies in the United States. We are a certified Minority Business Enterprise (MBE) by the National Minority Supplier Development Council (NMSDC) and the Rocky Mountain Minority Supplier Development Council (RMMSDC).

Equity Staffing Group is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Equity Staffing Group will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

We welcome you to learn more about our company by visiting www.equitystaffing.com.

Job Types: Full-time, Contract

Pay: $20.00 - $22.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Claremore, OK: Reliably commute or planning to relocate before starting work (Required)

Experience:

• HEDIS: 1 year (Preferred)

License/Certification:

• LVN (Preferred)
• LPN (Preferred)
• RN License (Preferred)

Willingness to travel:

• 25% (Preferred)

Work Location: One location

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