Medical Records Coordinator

Job not on LinkedIn

🔥 14 hours ago

🦌 Connecticut, New Jersey, +1 more states – Remote

🦌 Connecticut – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote

💵 $34.9k - $52k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Healthfirst

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1993

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Insurance • Healthcare • Healthcare Insurance

Healthfirst is a health insurance provider dedicated to helping New Yorkers access affordable health coverage for individuals and families. With over 30 years of experience, Healthfirst offers a range of plans including Medicaid managed care, Medicare Advantage, long-term care, and essential health plans. The company focuses on providing quality healthcare options, comprehensive benefits, and support to ensure members can maintain their health and well-being.

📋 Description

• Perform quality checks to maintain the integrity of events and criteria for reporting • Process members’ electronic documents and identify inaccurate or missing information • Resolve discrepancies using standard procedures and return incomplete documents to departments for correction • Respond to, monitor, and manage the State Secure File Transfer inbox • Track incoming packages and document requests • Retrieve and securely transmit requested PCSP and authorization documentation • Complete the monthly disenrollment PCSP transfer process • Monitor and track turnaround times • Facilitate manual mailings for other departments • Maintain enrollment nodes, member demographics, and Person-Centered Service Plan (PCSP) details • Research and analyze member records across UAS, internal systems, and source documentation • Manage documentation pulls for State and regulatory requests, internal audits, and legal inquiries • Retrieve, review, validate, organize, and prepare clinical documentation within established submission timeframes • Support member assignment and reassignment to appropriate Primary Care Managers • Research and resolve assignment discrepancies and coordinate with stakeholders to maintain accurate caseloads and continuity of care

🎯 Requirements

• HS diploma/GED from an accredited institution • Proficiency in navigating and working across multiple electronic documentation, healthcare, and database systems simultaneously • Experience working with electronic medical records (EMR), protected health information (PHI), or related healthcare documentation systems • Proficiency in Microsoft Excel, including data entry and editing, search functions, formulas, sorting and filtering, formatting, and using existing pivot tables • Strong organizational and time-management skills • Strong research and problem-solving skills • Ability to troubleshoot basic hardware and software issues • Experience with data entry and database management • Strong attention to detail and ability to perform quality reviews and identify discrepancies • Experience working in a healthcare, health plan, managed care, or related environment • Knowledge of Medicare, Medicaid, managed care, healthcare terminology, and/or regulatory requirements • Ability to exercise sound judgment, investigate discrepancies, identify appropriate next steps, and escalate complex or unresolved issues when necessary

🏖️ Benefits

• Medical, dental, and vision coverage • Incentive and recognition programs • Life insurance • 401k contributions • Competitive compensation and benefits package