Nashville, United States
9 months ago
This position is responsible for faxing, verifying, reviewing, documenting and processing HEDIS medical records and invoices.
Duties and Responsibilities:
Fax and/or mail HEDIS medical record requests and update status in workflow software Provide initial quality review on returned medical records and invoices ensuring that the information is legible and contains customer identifying information, such as name and date of birth Sort, scan and distribute incoming records and invoices to the proper work area in the workflow Process incoming records and invoices to the proper work flow - HEDIS folders and software Entering measure specific or testing information to a database Contact provider offices for additional missing information (W9, payment address, etc.) Maintain a daily production sheet Track and maintain an organized filing system for medical records and invoices
Maintain confidentiality of copied/received medical records and invoices while being compliant with federal (HIPPA and PHI) and local requirements in accordance with the CIGNA HealthCare office.