Talent.com
No longer accepting applications
Senior Medical Records Collector (Remote)

Senior Medical Records Collector (Remote)

Molina HealthcareRio Rancho, NM, United States
16 days ago
Job type
  • Full-time
  • Remote
Job description

Job Description

Job Summary

Molina's HEDIS / Quality Improvement Sr. Medical Records Collector is a team member with several years experience in working collaboratively with outreaching to providers in order to pursue medical records via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up, for the HEDIS projects. These team members help mentor other team members and take the lead on process and project improvement. These team members act as the subject matter experts in the area of medical record collection / pursuit.

Job Duties

  • Under the direction of the national and / or regional lead, the Medical Records Collector supports the annual HEDIS audit and other HEDIS like audits, by organizing provider outreach, pursuit, collection and upload of provider medical records into the internal database.
  • Subject matter expert in the area of project management / coordination of the identification, pursuit and collection of medical records and other data in collaboration with other HEDIS staff.
  • Assists the Manager and Supervisor(s) and / or performs the coordination and preparation of the HEDIS medical record collection process that includes the pursuit via phone call, fax, mail, electronic medical record system retrieval and direct onsite pick up.
  • Participates and prepared feedback for the vendor meetings in relation to the medical record collection process.
  • Subject matter expert in the area of collecting medical records and reports from provider offices, loads data into the HEDIS application.
  • Assists the manager / lead and quality improvement staff with physician and member interventions and incentive efforts as needed through review of medical records documentation.

Job Qualifications

REQU I RED ED U C A TI O N :

High School Diploma or equivalent

REQU I RED E X PE R I E N C E / KNOWLEDGE, SKILLS & ABILITIES :

  • 3+ seasons / years medical record collection experience.
  • 3+ years managed care experience.
  • Basic knowledge of HEDIS and NCQA
  • REQU I RED L I C E N S E, C E R TI FI C A T I O N , AS S O C I A TI O N :

    Must have valid drivers license with good driving record and be able to drive within applicable state or locality with reliable transportation.

    PR E FE R RED E X PE R I E N C E :

    3 years HEDIS data collection experience.

    PR E FE R RED L I C E N S E, C E R TI FI C A T I O N , AS S O C I A TI O N :

    Certified Medical Record Technician

    PHY S I C AL DEM A N D S :

    W o rki n g en v i r o nm ent is g e n erally f a vo r a b le and li gh t i n g and t e m p erature are a d eq u at e . W o rk is g eneral l y p erf o r m ed in an o ff i ce e n v i r o n m ent in w h i c h t h ere is o n l y m i n i m al e x p o su r e to u np leasa n t a nd / o r ha z ar d o u s w o rki n g c o nd iti o n s. M u s t h a v e t h e a b ility t o s i t f o r l o n g p eri o d s. Rea s o n a b le acc om mo d a ti o n s m a y be m a d e to e n a b le in d i v i du als with d i sa b ilities t o p er f o r m t h e e ssential fu n cti o n .

    To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing.

    Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

    Pay Range : $21.16 - $34.88 / HOURLY

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
  • Required

    Preferred

    Job Industries

  • Healthcare
  • Create a job alert for this search

    Medical Collector • Rio Rancho, NM, United States

    Related jobs
    • Promoted
    Medical Records Specialist

    Medical Records Specialist

    VirtualVocationsAlbuquerque, New Mexico, United States
    Full-time
    A company is looking for a Medical Records Processing Specialist.Key Responsibilities Process medical record requests in a high-volume, fast-paced environment Ensure compliance with HIPAA guidel...Show moreLast updated: 30+ days ago
    • Promoted
    Remote Medical Coding Reviewer

    Remote Medical Coding Reviewer

    VirtualVocationsAlbuquerque, New Mexico, United States
    Remote
    Full-time
    A company is looking for a Medical Coding Reviewer I.Key Responsibilities Perform clinical / coding medical claim review to ensure compliance with coding practices Analyze provider billing practic...Show moreLast updated: 30+ days ago
    • Promoted
    Medicaid Collections Specialist

    Medicaid Collections Specialist

    VirtualVocationsAlbuquerque, New Mexico, United States
    Full-time
    A company is looking for a Collections Specialist I - Medicaid (REMOTE).Key Responsibilities Perform collection follow-up on outstanding insurance balances and document account activity Make out...Show moreLast updated: 2 days ago
    • Promoted
    California Licensed Medical Coder IV

    California Licensed Medical Coder IV

    VirtualVocationsAlbuquerque, New Mexico, United States
    Full-time
    A company is looking for a Remote Medical Coder IV.Key Responsibilities Assign codes for diagnoses, treatments, and procedures according to classification systems for inpatient admissions Review...Show moreLast updated: 3 days ago
    • Promoted
    Indiana Licensed Inpatient Coder

    Indiana Licensed Inpatient Coder

    VirtualVocationsAlbuquerque, New Mexico, United States
    Full-time
    A company is looking for an RCS-IP Coding Expert to provide accurate clinical data for billing and reimbursement purposes. Key Responsibilities Accurately assign ICD-10-CM diagnoses and ICD-10-PCS...Show moreLast updated: 2 days ago
    • Promoted
    Medical Reviewer III

    Medical Reviewer III

    VirtualVocationsAlbuquerque, New Mexico, United States
    Part-time
    A company is looking for a Medical Reviewer III for a remote position.Key Responsibilities Provide medical review consultancy to support US Immunology Medical Affairs teams Ensure compliance wit...Show moreLast updated: 30+ days ago
    • Promoted
    CPC Certified Claims Coder

    CPC Certified Claims Coder

    VirtualVocationsAlbuquerque, New Mexico, United States
    Full-time
    A company is looking for a Claims Resolution Coder - Remote.Key Responsibilities Review medical documentation to assign modifiers to insurance claims based on coding guidelines Collaborate with ...Show moreLast updated: 3 days ago
    • Promoted
    Certified Inpatient Coder

    Certified Inpatient Coder

    VirtualVocationsAlbuquerque, New Mexico, United States
    Full-time
    A company is looking for a Senior Coder (Inpatient).Key Responsibilities Analyze and interpret medical records to ensure accurate coding of diagnoses and procedures Utilize coding resources and ...Show moreLast updated: 30+ days ago
    • Promoted
    Patient Registrar I- Float

    Patient Registrar I- Float

    Presbyterian Healthcare ServicesAlbuquerque, NM, US
    Full-time
    Presbyterian is seeking a Patient Registrar I- Float.Coordinates the encounter or episode process for our patients and consumers by performing activities related to patient registration.Accuracy of...Show moreLast updated: 13 days ago
    • Promoted
    • New!
    Senior Abstractor, HEDIS / Quality Improvement (Remote)

    Senior Abstractor, HEDIS / Quality Improvement (Remote)

    Molina HealthcareAlbuquerque, NM, US
    Remote
    Full-time
    Molina's Quality Improvement Sr.Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection.The abstraction team ...Show moreLast updated: 14 hours ago
    • Promoted
    CNI (RN) Medical Oncology Cancer Center Per Diem

    CNI (RN) Medical Oncology Cancer Center Per Diem

    CHRISTUS HealthPena Blanca, New Mexico, United States
    Full-time
    The Registered Nurse is a clinical practitioner who coordinates and implements patient care specific to the age of the patient population served on the assigned units. He / she ensures that quality ca...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Medical Record Retrieval Specialist

    Medical Record Retrieval Specialist

    VirtualVocationsAlbuquerque, New Mexico, United States
    Full-time
    A company is looking for a Medical Record Retrieval Specialist.Key Responsibilities Retrieve medical records from multiple provider EHR systems Generate letter requests for Risk and Quality Depa...Show moreLast updated: 14 hours ago
    • Promoted
    • New!
    Records Management Specialist

    Records Management Specialist

    MELE Associates,Albuquerque, NM, US
    Full-time
    MELE requires an exceptional candidate to fill a new Standards & Records Information Management Specialist role to support NNSA's Nuclear Emergency Support Team (NEST) Standards and Training Pr...Show moreLast updated: 14 hours ago
    • Promoted
    Remote Medical Records Clerk

    Remote Medical Records Clerk

    VirtualVocationsAlbuquerque, New Mexico, United States
    Remote
    Full-time
    A company is looking for a Remote Medical Records Clerk.Key Responsibilities Provide front desk support in a virtual setting Perform accurate and timely data entry Deliver exceptional customer ...Show moreLast updated: 2 days ago
    • Promoted
    Patient Accounting Collections Specialist

    Patient Accounting Collections Specialist

    Presbyterian Healthcare ServicesAlbuquerque, NM, US
    Full-time
    Patient Accounting Collections Specialist.Now hiring a Patient Accounting Collections Specialist.Follows-up, collects, and resolves all outstanding accounts receivable. Performs a variety of duties ...Show moreLast updated: 30+ days ago
    • Promoted
    HEDIS Reviewer

    HEDIS Reviewer

    VirtualVocationsAlbuquerque, New Mexico, United States
    Full-time
    A company is looking for a HEDIS Reviewer.Key Responsibilities Audit information entered into the software system for abstraction, overreading, and data entry Maintain project productivity level...Show moreLast updated: 2 days ago
    • Promoted
    • New!
    Alabama Licensed Medical Reviewer

    Alabama Licensed Medical Reviewer

    VirtualVocationsAlbuquerque, New Mexico, United States
    Full-time
    A company is looking for a Medical Reviewer II to perform medical reviews and support medical claims.Key Responsibilities Conducts medical claim reviews and determines medical necessity based on ...Show moreLast updated: 6 hours ago
    • Promoted
    Remote Collections Representative

    Remote Collections Representative

    VirtualVocationsAlbuquerque, New Mexico, United States
    Remote
    Full-time
    A company is looking for an Experienced Collections Representative - Remote.Key Responsibilities Make outbound calls and accept incoming calls regarding past due accounts Secure payments on acco...Show moreLast updated: 30+ days ago
    • Promoted
    Certified Medical Records Coder

    Certified Medical Records Coder

    VirtualVocationsAlbuquerque, New Mexico, United States
    Full-time
    A company is looking for a Medical Records Coder Outpatient.Key Responsibilities Accurately codes and sequences all diagnoses and procedures in outpatient medical records Utilizes Computer Assis...Show moreLast updated: 2 days ago
    • Promoted
    Records Management & Data Entry Technician

    Records Management & Data Entry Technician

    Bernalillo County (NM)Albuquerque, NM, US
    Full-time
    Records Management & Data Entry Technician.Bernalillo County Sheriff's Office.Pay : Probationary Hourly Rate of $17.Close Date : September 14, 2025. Under general supervision, process, enter and cance...Show moreLast updated: 15 days ago