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Remote Healthcare Excellence Representative - HEDIS Customer Service Specialist (PST or MST Time Zones)

Remote, USA Full-time Posted 2025-11-03

Join our team as a Remote HEDIS Customer Service Representative, where you will play a vital role in coordinating the retrieval of medical records from provider offices and hospitals. As a key member of our team, you will utilize your exceptional communication skills, data entry expertise, and collaborative mindset to ensure seamless medical record retrieval processes. Leveraging tools like Microsoft Excel, you will manage projects, report progress, and deliver top-notch customer service within the healthcare industry.

Key Responsibilities:

  • Establish relationships with provider offices and hospitals through outbound calls to request medical records
  • Accurately record progress and perform data entry in our abstraction tool
  • Collaborate with our Administrative Lead and Medical Record Reviewers to manage caseloads and ensure efficient workflows
  • Work cohesively with the team to organize medical records and resources, supporting our Medical Record Retrieval (MRR) processes
  • Conduct follow-up calls to track expected charts and provide updates to offices
  • Send fax requests to providers and research information using online websites and internal applications
  • Utilize Microsoft Excel daily to manage projects, report progress, and identify barriers
  • Persist in finding accurate information to retrieve medical records, demonstrating a strong commitment to excellence
  • Perform additional duties as assigned, including potential minimal travel

Requirements:

  • Minimum 2 years of experience in the healthcare industry
  • Preferred 3 years of experience in Medical Records or Case Management
  • Experience in Medical Record Retrieval, with strong documentation and follow-up skills

Nice-to-Haves:

  • Experience in customer service within the healthcare industry
  • Proficiency in computer applications, with a strong foundation in technology

Apply now to join our team and take the first step towards a rewarding career in healthcare excellence! Apply To This Job

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