HEDIS Service Associate II

Elevance Health, Inc.; California; Hybrid; USD 18,000 - 36,000; Full time

Job summary

Elevance Health, a Fortune 25 health company, is seeking an administrative support specialist to assist a data collection project. You will handle telephonic communication with provider practices, coordinate with the Lead, and maintain professional service standards in a fast-paced environment.

The role requires a high school diploma with at least 6 months related experience, basic Excel, and ability to type 30–40 WPM.

Qualifications

• Requires High School diploma and 6 months related work experience or an equivalent combination of education and experience.
• Candidates who have familiarity with medical terminology, customer service, call center background and prior HEDIS experience would have priority for this position.
• Candidates must have basic Excel skills and must have the ability to type 30-40 WPM.

Responsibilities

• Provide administrative and telephonic support for a data collection project in a fast-paced environment.
• Contact and correspond with provider practices to fulfill requests and meet deadlines, under supervision of the Lead.
• Assist abstractors by researching within the company's claims and medical record systems to locate care locations.
• Maintain professional telephonic dialog and coordinate with the team to support workflow and accuracy.
• Book appointments, verify information, and maintain department tracking logs and calendars.

Skills

Medical terminology

Customer service

Call center

HEDIS experience

Typing 30-40 WPM

Education

High School diploma

Tools

Excel

Job description

Please note this is the target date and is subject to change. BCForward will send official notice ahead of a confirmed start date.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Responsible for providing administrative and telephonic support for department working on a data collection project in a fast paced environment in order to meet deadlines within the project. Candidate will work under the direction of the Lead to assist and fulfill requests by contacting and corresponding with provider practices. A high degree of professionalism and team effort is expected to be maintained throughout the project.

Primary duties may include, but are not limited to:

Working at a fast pace this candidate must communicate directly with provider offices in pursuit process by requesting medical record information and coordinating the exchange of files.

Must be able to maintain fax equipment and support the Level I Service Associate and team by performing all the required clerical activities within the project requirements.

Working in this position the Service Associate II also will be required to book appointments, verify information and communicate with provider offices making requests for medical record information, maintain department tracking log, and Abstractor calendars.

An understanding of the Medical record filing system within the department is required.

Medical Records are stored in locked cabinets and retrieved as requested by staff and Auditors.

Candidate will be responsible to assist abstractors by utilizing research within the company's claims and medical record systems and locating where members received care.

A high degree of professional telephonic dialog is maintained at all times.

Requirements:

Requires High School diploma and 6 months related work experience or an equivalent combination of education and experience.

Candidates who have familiarity with medical terminology, customer service, call center background and prior HEDIS experience would have priority for this position.

Candidates must have basic Excel skills and must have the ability to type 30-40 WPM.

Additional Information:

Work Schedule: Monday- Friday 8:30am-5:00pm (CST or PST)

Customer service, good communication, phone and email etiquette, familiarity with outlook, diligent notation skills, Microsoft excel basic navigation, moderate typing skills, ability to multi task and follow through, and the ability to adapt and learn new tools.

Open to any PulsePoint location- candidates must be within a reasonable commute to a PulsePoint location.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

About BCForward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCForward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCForward's 6,000 consultants support more than 225 clients globally.

BCfForward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCForward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCForward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCForward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Pay Rate Range

Min Pay Rate $13.39

Max Pay Rate $26.02

Currency USD

Unit hourly

Additional Pay Rate Notes

The pay range is the range BCForward in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations.

Benefits Information

BCForward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. This does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).