Medical Review Clerk Job at Imperial Health Plan of California
People are the most important asset of Imperial, for this reason the difference and plurality of people, equality of opportunities, non-discrimination and inclusion in the workplace are priority and strategic factors in the Organization. Imperial maintains a strong will to promote Diversity, Equity, and Inclusion, through inclusive leadership as a lever change and business sustainability.
Imperial Health Plan of California, Inc. is approved by California Department of Managed Health Care to offer full-service Medicare Advantage coverage, including a Medicare Advantage Prescription Drug plan, and a Chronic Condition Special needs plan over numerous counties in California. Through its affiliate, Imperial Insurance Companies, Imperial also offers Medicare Advantage plans in Texas, New Mexico, Utah, and Arizona.
Our Mission: To deliver valuable care so that members are healthy in body, mind, and spirit to achieve their inherent potential.
Our Vision: To deliver value based care that is clinically effective, sustainable, and achieves exceptional outcome.
THIS IS IN-OFFICE - NO REMOTE IS AVAILABLE
JOB SUMMARY:
Under general supervision, is responsibility for the maintenance, and flow of medical records from different departments, providers or systems to medical reviewers, and from medical reviewers to electronic claims system
ESSENTIAL JOB FUNCTIONS:
1. Retrieve medical records from electronic medical record, claims system, other electronic system or provider’s office.
2. Process medical records for review.
3. Enter medical review into electronic claims system.
4. Track work of each reviewer for daily report.
5. Sort data in Excel Spreadsheet.
6. Post medical reviews on EZCAP.
EDUCATION/EXPERIENCE:
· High school graduate or equivalent.
· 1 year of health-related experience in Medical Records Administration
. Health Information Management experience preferred
SKILLS/KNOWLEDGE/ABILITY:
· Proficient in Microsoft Office Suite: Excel, Outlook, Word
· Maintains confidentiality regarding persons served information
Job Type: Full-time
Pay: $19.00 - $21.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Physical setting:
- Office
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Ability to commute/relocate:
- Pasadena, CA 91106: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Microsoft Office: 2 years (Required)
Work Location: In person
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