Primary Responsibilities:

Provide clerical, secretarial, word processing, and other support services as assigned
Demonstrate understanding of applicable business departments’ operations, drivers, and/or procedures
Receive information (e.g., medical records; physician letters; general correspondence) from stakeholders (e.g., providers; clients)
Verify information (e.g., member information; type of record) and include work queue driver prior to entering information into data entry work queue
Work with stakeholders (e.g., internal partners; providers; members) to clarify, confirm, and/or gather additional information
Scan documents into data entry queue ensuring appropriate personnel have access
Pull relevant data from reports received
Enter relevant data and information into appropriate systems/tools (e.g., spreadsheets) that can be utilized for reports
Review completed documentation to ensure data entry quality and accuracy
Ensure confidentiality regulations and rules (e.g., PHI; HIPAA) and/or compliance guidelines are complied with when gathering, entering data and information, reviewing and/or distributing data and information
Generate reports in relevant systems needed to prepare additional reports for stakeholders
Monitor, track, and/or integrate data and information (e.g., operations; claims; performance) into documents and reports
Perform quality checks prior to distribution to ensure reports and documents are accurate
Submit reports to applicable stakeholders (e.g., management) in order to obtain approval when needed
Review current reports/documents/processes to identify potential improvements or changes
Provide guidance to internal team members on changes to reports/documents/processes
Open mail (e.g., physical; email; e-fax) to determine type of documents/attachments contained
Review documents/attachments to ensure appropriate information has been provided
Scan or stamp mail/documents with the date received
Create and send (e.g., mail; fax; email) pertinent forms to submitters to correct/gather missing information when necessary
Revise and/or add to documents/attachments as needed prior to processing
Submit documents and reports to relevant stakeholders (e.g., management; providers; members; internal partners) following appropriate departmental procedures
Ensure records and files are stored and managed in accordance with files/records management procedures and regulations
Ensure confidentiality regulations and rules (e.g., PHI; HIPAA) are complied with when filing or storing documents
Create electronic/paper files needed to store documents
Review records to identify files that can be shredded or submitted to records storage
Submit files to records management using appropriate procedures/forms
Locate and retrieve medical records/patient demographic forms when requested
Label older medical records file boxes for offsite storage

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

High School Diploma / GED
Must be 18 years of age OR older
1+ years of healthcare customer service
Experience in handling and reviewing medical records
Familiarity with computer and personal computer applications, which includes the ability to learn new and complex computer system application
Ability to work onsite at both 1955 W Frye Rd Chandler, AZ 85224 & 3555 S Val Vista Dr Gilbert, AZ 85297
Ability to work at least two shifts per week
Ability to work a per diem (as needed) schedule between 06:00AM – 4:30pm any day of the week, including weekends

Soft Skills:

Applies knowledge/skills to activities that often vary from day to day
Moderate level of knowledge and skills in own function
Requires little assistance with standard and non-standard requests
Solves routine problems on own
Works with supervisor to solve more complex problems
Prioritizes and organizes own work to meet agreed upon deadlines
Works with others as part of a team

Physical and Work Environment:

General office demands
Prolonged periods of standing and walking in hospital facilities