Member Risk Adjustment Coordinator I

Member Risk Adjustment Coordinator I

BCForward is looking for Member Risk Adjustment Coordinator I- Remote- FL

Position Title: Member Risk Adjustment Coordinator I

Location: Remote (Florida - Eastern Standard Time Zone)

Anticipated Start Date: ASAP

Expected Duration: 06 months

Job Type: FULL TIME (>%3D40 HRS WEEKLY, [CONTRACT], [REMOTE]

Shift: 8:00 AM - 5:00 PM, Monday to Friday

Pay Range: $22/hr on W2

Position Purpose:

The Member Risk Adjustment Coordinator I is responsible for supporting member outreach and claims reimbursement by scheduling appointments, gathering medical histories, and updating member and provider information. This role involves customer service, medical record retrieval, and coordination with vendors to ensure timely and accurate processing of medical records.

Key Responsibilities:

• Appointment Scheduling: Assist members with scheduling office visits with primary care providers.
• Medical Record Retrieval: Retrieve and compile medical records from electronic systems to support coding activities.
• Vendor Coordination: Request medical records from provider groups and assist with supplemental record requests.
• Data Management: Utilize Excel to track and manage medical record requests, ensuring updates to member and provider information.
• Phone Outreach: Make outbound calls to provider groups to gather required medical records and resolve any issues.
• Follow-Up: Ensure follow-up on appointments and medical record requests, and resolve any outstanding issues in a timely manner.
• Ad Hoc Requests: Assist with additional tasks as needed to support the team.

Qualifications:

Education/Experience:

• High school diploma or equivalent required.
• 0-2+ years of customer service or medical office experience preferred.
• Experience with medical record retrieval systems is a plus.
• Billing or coding experience is a plus.
• Beginner-level Excel skills required.

Performance Expectations:

• Productivity: Complete a minimum of 30 calls per day with 10 calls resolved.
• Medical Record Retrieval: Retrieve at least 100 records per day from EMR portals.

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

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.

Interested candidates please send resume in Word format Please reference job code 230824 when responding to this ad.

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