HEDIS Service Associate II (Contract)

Nov 6, 2024

Elevance Health

Entry Level, HEDIS, Potential for New Grad Nurse (No nursing license required), Quality
Needs reliable transportation. Remote, WFH opportunity.

Employment Type:

Contract Employee

Schedule:

Full-time, Temporary | Seasonal

Remote Status:

Remote

License:

Any State | US, OH

Elevance Health

Entry Level, HEDIS, Potential for New Grad Nurse (No nursing license required), Quality
Needs reliable transportation. Remote, WFH opportunity.

Employment Type:

Contract Employee

Schedule:

Full-time, Temporary | Seasonal

Remote Status:

Remote

License:

Any State | US, OH

Job ID: JP00045100

Anticipated Start Date: 01/02/2025

Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Responsible for providing administrative and telephonic support for department working on a data collection project in a fast paced environment in order to meet deadlines within the project. Candidate will work under the direction of the Lead to assist and fulfill requests by contacting and corresponding with provider practices. A high degree of professionalism and team effort is expected to be maintained throughout the project.

Primary duties may include, but are not limited to:

  • Working at a fast pace this candidate must communicate directly with provider offices in pursuit process by requesting medical record information and coordinating the exchange of files.
  • Must be able to maintain fax equipment and support the Level I Service Associate and team by performing all the required clerical activities within the project requirements.
  • Working in this position the Service Associate II also will be required to book appointments, verify information, and communicate with provider offices making requests for medical record information, maintain department tracking log, and Abstractor calendars.
  • An understanding of the Medical record filing system within the department is required.
  • Medical Records are stored in locked cabinets and retrieved as requested by staff and Auditors.
  • Candidate will be responsible to assist abstractors by utilizing research within the company’s claims and medical record systems and locating where members received care.
  • A high degree of professional telephonic dialog is maintained at all times.

Requirements:

  • Requires High School diploma and 6 months related work experience or an equivalent combination of education and experience.
  • Candidates who have familiarity with medical terminology, customer service, call center background, and prior HEDIS experience would have priority for this position.
  • Candidates must have basic Excel skills and must have the ability to type 30-40 WPM.
  • Needs reliable transportation.
  • General HEDIS, Customer Service, Outlook, TEAMS and Excel (Rename, maneuver through tabs, total numbers, count rows, viewing pivot tables, add rows/columns, copy/paste).
  • Knowledge of Google Chrome Browser (Internal Software Use), Internet (Research).
  • Acute attention to detail.
  • Must be computer literate.
  • Able to work from home in a quiet, private environment in a secure space.

Job Type: Contract opportunity.

Additional Details:

  • Remote, WFH opportunity.
  • 8-4:30 EST occasionally different for business needs.
  • Must be flexible with hours due to training schedule.
  • Must be reliable to have no/very limited time off during the season.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.