Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely with a secure internet connection
- Supportive and collaborative work environment
- Chance to contribute to important healthcare metrics through HEDIS reporting
- In-depth training provided on HEDIS principles

What to Expect (Job Responsibilities):
- Learn basic HEDIS principles through internal training
- Conduct claims and provider research using claims reports
- Track research steps and outcomes using MS Excel and HEDIS software
- Validate provider locations and send HEDIS requests via fax
- Complete follow-up phone calls as needed and attend project meetings

What is Required (Qualifications):
- High school diploma or equivalent
- Knowledge of medical terminology and provider specialties
- Experience with medical claims systems or HEDIS processes
- Background in healthcare, call centers, or customer service
- Proficiency in Microsoft Office Suite (Outlook, Excel)

How to Stand Out (Preferred Qualifications):
- Strong decision-making, problem-solving, and communication skills
- Attention to detail, organizational skills, and self-motivation
- Ability to learn quickly and follow complex workflows
- Ability to work independently and manage multiple tasks

#HealthcareServices #RemoteWork #CareerOpportunity #HEDIS #MedicalClaims

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