• Medicare Risk Adjustment

    TEKsystems (Sunrise, FL)


    Description

    Job Description

    Position Purpose: Schedule appointments gather medical histories and updated member and provider information in support of member outreach and claims reimbursement.

     

    Education/Experience: High school diploma or equivalent. 0-2 years of customer service or medical office experience. Experience with preserved medical record retrieval systems preferred. Billing or coding experience preferred. Excel skills.

    Responsibilities:

    - Retrieves charts from electronic medical record systems and compile medical records to send to other parties for coding.

     

    - Requests medical records by making outbound phone calls to provider groups.

     

    - Completes supplemental medical records requests using Excel files.

     

    - Assist with providing updated member and provider information to vendors.

     

    - Directs medical record requests to the responsible party.

     

    - Resolves outstanding vendor pends within a timely manner by updating member and provider demographics and working with chart load issues.

     

    - Ensure follow up on member appointments or other tasks designated.

     

    - Assist with ad hoc requests.

     

    Skills

     

    medical admin, medical terminology, record retrieval, hedis, admin, healthcare customer service

     

    Top Skills Details

     

    medical admin, medical terminology, record retrieval, hedis, admin,healthcare customer service

     

    Additional Skills & Qualifications

     

    Associate’s degree in Business, Healthcare or equivalent experience.

     

    Skilled in Microsoft Office products.

     

    2-4 years of experience

     

    Coding experience a plus

    IOI questions:

    walk me through your experience with medical term and coding

     

    Talk to me about a time when you've dealt with a difficult customer

     

    Explain to me your experience working with physicians and their offices

    Best Candidate:

    Coding and record retrieval experience

    DISQ:

    no healthcare or data entry experience

    Experience Level

    Intermediate Level

    Pay and Benefits

    The pay range for this position is $22.00 - $22.00/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 Sep 30, 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.