
1001 - 5000 employees
Founded 1948
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Arkansas Blue Cross and Blue Shield is a health insurance provider licensed to offer health plans in all 75 counties of Arkansas. The company offers a wide range of insurance products including individual and family plans, Medicare and Medigap plans, dental and vision plans, as well as health plans for travelers and employer group plans. They provide members with personalized services such as health management through the Blueprint Portal, where users can manage their health plan, review claims, find healthcare providers, and estimate treatment costs. Arkansas Blue Cross and Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association.
🔥 12 hours ago
🇺🇸 United States – Remote
💵 $47.6k - $61.8k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🛒 Procurement
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1001 - 5000 employees
Founded 1948
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Arkansas Blue Cross and Blue Shield is a health insurance provider licensed to offer health plans in all 75 counties of Arkansas. The company offers a wide range of insurance products including individual and family plans, Medicare and Medigap plans, dental and vision plans, as well as health plans for travelers and employer group plans. They provide members with personalized services such as health management through the Blueprint Portal, where users can manage their health plan, review claims, find healthcare providers, and estimate treatment costs. Arkansas Blue Cross and Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association.
• Coordinate retrieval of medical records for risk adjustment, documentation and coding accuracy, and quality-measure initiatives • Collect, organize, analyze, coordinate, monitor, and report medical-record data • Use provider information to create reports and identify ways to streamline record collection and internal sharing • Liaise with healthcare organizations, copy-service vendors, internal departments, and the risk adjustment team • Collaborate with provider network, collaborative health integration, primary care, and quality departments • Assist providers with sending medical records • Assist with risk-adjustment business analytics and/or medical coding • Develop and maintain retrieval tools and research solutions to retrieval roadblocks • Identify process-improvement opportunities • Support provider communication, collaboration, and education as applicable • Perform other duties as assigned
• Bachelor's degree in Business or Healthcare Management-related field, or five years’ health-related non-clerical experience with an insurance, managed care, or healthcare organization in lieu of degree • Minimum three years’ analysis, research and/or medical coding experience • Minimum two years’ medical record review experience • Knowledge of EMR systems or electronic data sources • Knowledge of HL7, FHIR, risk and quality concepts related to Medicare Advantage and Affordable Care Act populations, and Visio or flowcharting software preferred • Organizational planning, interpersonal communication, reasoning, and information analysis skills • Active listening and self-starter abilities • Electronic Medical Record software and medical record review experience • Proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint • Proficiency with MS Access, MS Project, and SharePoint preferred • Must work from within Arkansas • Some local travel to provider offices may be necessary
• Work from home within Arkansas • Regular full-time employment • Monday–Friday work schedule
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