Qureos Mentor

Zelis

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 About Us
 
 
 
 Zelis is modernizing the healthcare financial experience in the United States (U.S.) across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts &ndash; driving real, measurable results for clients.
 
 
 
 Why We Do What We Do
 
 
 
 In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system.
 
 
 Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis&rsquo; award-winning culture.
 
 
 
 Position Overview
 
 
 
 Responsible for contacting healthcare providers to request and obtain medical and billing documents as well as providing training/mentorship for Document Retrieval I staff.
 
 
 
 ObjECTIVES AND RESPONSIBILITIES
 
 
 
 Successfully manages both medical record claim audit requests and facility itemized bill claim requests.
 
 
 Manages 2 or more nurse auditor staff in the medical claim audit process by requesting medical records and applicable documents from medical providers nationwide.
 
 
 Contacts healthcare providers to request and obtain medical and billing documents via phone, fax, mail &amp; e-mail for claims processing.
 
 
 Organize and prioritize claims daily for follow up of billing documents not received.
 
 
 Learn and process according to various provider/client stipulations.
 
 
 Utilize AutoFax &ndash; document retrieval platform efficiently.
 
 
 
 Performs Other Related Responsibilities As Assigned.
 
 
 
 Maintain awareness of and ensure adherence to ZELIS standards regarding privacy.
 
 
 
 What You Will Bring
 
 
 
 Has foundational proficiency in requesting medical records and applicable documents from medical providers.
 
 
 2+years of medical record experience or 1+year prior DR I experience.
 
 
 Has a solid understanding of various types of medical documents.
 
 
 Has a solid understanding of processes and techniques in obtaining documents.
 
 
 Great verbal communication skills
 
 
 Knowledge of MS Outlook, MS Word, &amp; Internet Explorer
 
 
 Strong prioritizing &amp; organizational skills
 
 
 Excellent customer service &amp; telephone skills
 
 
 
 Independence/ Accountability
 
 
 
 Meets or exceeds the Document Retrieval Performance Standards established by the Document Retrieval department.
 
 
 Requires minimal daily supervision on day to day tasks but seeks guidance on more complex tasks
 
 
 Accountable for day to day tasks
 
 
 Ability to follow detailed instructions on new assigments
 
 
 Must have professional manner and respect the confidentiality of administrative matters and files
 
 
 Ability to manage and prioritize multiple tasks.
 
 
 Ability to work under pressure and meet deadlines.
 
 
 Completes work in a timely fashion
 
 
 Outstanding ability to multiplex tasks as required
 
 
 Attention to detail.
 
 
 
 Communication Skills
 
 
 
 Must work well with others
 
 
 Effectively communicates with others by giving and receiving feedback
 
 
 Call Center Phone edicate
 
 
 Communicates ideals and information clearly
 
 
 
 Education
 
 
 
 Graduate
 
 
 Associates Degree a plus
 
 
 
 Commitment to Diversity, Equity, Inclusion, and Belonging
 
 
 
 At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.
 
 
 
 Equal Employment Opportunity
 
 
 
 Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
 
 
 
 Accessibility Support
 
 
 
 We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability and require reasonable accommodation with any part of the application and/or interview process, please email talentacquisition@zelis.com.
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Document Retrieval I-2

Join Zelis and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Zelis

About Company

Document Retrieval I-2