See all roles

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

Work from home Full-time role Hiring

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

Apply for this job

You might like

Clinical Quality LPN - HEDIS Specialist (Remote Opportunity)

Work from home Full-time role

Remote HEDIS Review Nurse Opportunity - Competitive Salary and Benefits

Work from home Full-time role

Remote HEDIS & Risk Retrieval Subject Matter Expert (SME)

Work from home Full-time role

Remote HEDIS Quality Auditor Opportunity in Newark, NJ - Contract Position

Work from home Full-time role

Remote HEDIS Manager - Performance Improvement Opportunity

Work from home Full-time role

Director of Veterinary Technicians - Remote Opportunity

Work from home Full-time role

Hybrid Veterinary Professional - Temporary Full-Time Opportunity

Work from home Full-time role

Remote Veterinary Support Specialist - Work from Home Opportunity

Work from home Full-time role

Veterinary Technician - Join Our Compassionate Team and Make a Difference in Animal Lives

Work from home Full-time role

Telehealth Veterinary Technician (Part-Time) - Revolutionize Pet Care with Chewy!

Work from home Full-time role

Environmental Sustainability Lead Remote Nationwide

Work from home Full-time role

Pediatric Nutrition District Sales Manager - Pittsburgh/Northern Ohio

Work from home Full-time role

Call Center Intake Specialist - Evening Shift + Alternating Weekends

Work from home Full-time role

Remote Customer Service Representative – arenaflex Home‑Based Support for U.S. Clients – Flexible Schedule, Career Growth, and Performance Incentives

Work from home Full-time role

Head of Trading

Work from home Full-time role

Experienced Home-Based Chat Support Representative – Immediate Start, No Experience Required

Work from home Full-time role

Call Center Representative - Healthcare - Remote DFW

Work from home Full-time role

AI Specialist - Marketing Operations

Work from home Full-time role

Salesforce Health Cloud Developer

Work from home Full-time role

[Remote] Remote Customer Service Agent - Bilingual

Work from home Full-time role