Medical Records & Clinical Support Coordinator I

TALENT Software Services; California; Presencial; USD 40.000 - 55.000; Jornada completa

Descripción de la vacante

TALENT Software Services is seeking a detail-oriented administrator to handle day-to-day tasks related to medical records requests and data management. You will coordinate with providers, ensure accurate record-keeping, and support timely responses for clinical reviews.

The role requires strong communication skills, proficiency with Microsoft Office, and familiarity with health plan concepts. A high school diploma or GED is required, with preference for prior medical office experience.

Formación

• Detail oriented with strong written and verbal communication skills.
• Solid organizational skills and ability to draft professional letters.
• Experience using standard office software and basic health plan terminology is a plus.

Responsabilidades

• Request medical records and response requests from providers via fax, secure email, or remote EMR systems.
• Validate provider contact information and update the department repository.
• Follow up on requests via phone or email and take appropriate action.
• Manage incoming medical records and responses accurately and timely.
• Review records on receipt before clinical review.
• Follow up with providers if records are incomplete.

Conocimientos

Detail oriented

Agile

Letter formatting

Educación

High school diploma or GED

Herramientas

Microsoft Office

Adobe Acrobat

Right Fax

Descripción del empleo

• Request medical records and/or response requests from providers fax, secure email, or remote electronic medical record system.
• Validate provider contact information and update department repository accurately.
• Follow up on medical records and/or response requests via phone or email and implement appropriate action.
• Manage incoming medical records/responses accurately and timely.
• Review medical records upon receipt for content prior to sending for clinical review.
• Follow up with provider if records are incomplete.
• Consult with CQR Lead/RN as needed on requests and request status.
• Prioritize tasks and assignments to meet turnaround time goals.
• Research provider and member information using internal applications (claims, PCP information, plan type).
• Be an active team member and promote a positive work environment.
• Provide input for continuous process improvement.
• Work under limited to moderate supervision on routine tasks.
• Deliver on day-to-day objectives which impact the overall of department goals.
  
  

Day To Day Responsibilities

• Request medical records and/or response requests from providers fax, secure email, or remote electronic medical record system.
• Validate provider contact information and update department repository accurately.
• Follow up on medical records and/or response requests via phone or email and implement appropriate action.
• Manage incoming medical records/responses accurately and timely.
• Review medical records upon receipt for content prior to sending for clinical review.
• Follow up with provider if records are incomplete.
• Consult with CQR Lead/RN as needed on requests and request status.
• Prioritize tasks and assignments to meet turnaround time goals.
• Research provider and member information using internal applications (claims, PCP information, plan type).
• Be an active team member and promote a positive work environment.
• Provide input for continuous process improvement.
• Enter accurate data into department database to ensure accurate reporting.
• Work under limited to moderate supervision on routine tasks.
• Deliver on day-to-day objectives which impact the overall of department goals.
  
  

Required Skills (top 3 non-negotiables):

• Detail oriented with strong verbal and written communication skills.
• Agile
• Strong organization and professional letter writing/formatting skills
  
  

Preferred Skills (nice To Have)

• Health plan and/or medical office experience/basic knowledge of managed care principles (HMO, PPO, Medicare)
• Medical terminology knowledge
• Previous experience working with grievances/quality of care concerns
  
  

Education Requirements:

• Education: High school diploma or GED.
  
  

Software Skills Required:

• Microsoft Office, includes maintaining Excel spreadsheets.
• Adobe Acrobat.
• Professional letter formatting.
• Right Fax.