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Description

The Clinical Quality team oversees and is responsible of HEDIS medical record review pursuit and overall HEDIS submission. The HEDIS Coordinator Entry Level will report to the Supervisor of the HEDIS Outreach Team. In this role you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also participation in Quality initiatives involving member outreach for care gap closure. Responsible for maintaining high productivity and standard work.

• Call provider offices & hospitals to request medical records for Medicare PPO population.

• Record progress, data entry in abstraction tool

• Coordinate with Administrative Lead and Medical record reviewers to manage caseload

• Communicate with BSC MRR Team to effectively manage project assignment

• Will work as a member of a team to coordinate and maintain a system to organize the medical records and other materials/resources that are required for the overall MRR processes to work and flow effectively

• Make follow-up calls regarding expected charts, provide information to offices

• Send fax requests to providers

• Research provider information and claims information using online websites/internal applications

• Daily use of Microsoft Excel to manage various projects and report to leads on progress and barriers

• Perseverance to find the correct information to retrieve the medical record

• Other duties as assigned, including possible minimal traveling

Skills

customer service, HEDIS, Medical Records, Member service, Excel, MS Office, Healthcare, Right FAx, Adobe

Top Skills Details

customer service, HEDIS, Medical Records, Member service, Excel,MS Office, Healthcare

Experience Level

Entry Level

Pay and Benefits

The pay range for this position is $23.00 - $23.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jul 27, 2025.

h4>About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.