Essential functions and Roles and Responsibilities:
- Electronic Record Collection: Based on training criteria, identify key portions of the record to be collected and, following standards, extract and save this information in a standard format for later review. Complete work meeting and maintaining the department individual productivity standard.
- Record Retrieval Preparation: Ensure retrieved records are complete and ready for further review by confirming member identifiers, ensuring all needed portions of the record are present, checking file quality and naming standards and document this information into standard software reporting tools.
- Record Review Preparation: Ensure records received are complete and ready for review by confirming member identifiers, ensuring documentation standards are met, and checking for presence of clinical information used for compliance, including the appropriate codes to be utilized.
- Retrieval Liaison: Work with providers to set up schedules to retrieve records, via remote access or sent by fax or by encrypted drop box. As necessary, connect the retrieval with provider site points of contact to clarify requests made when specific information is omitted from records previously submitted for review.
- Traveling onsite to provider offices throughout the State of Washington is required.
- Being able to report to work on time and work the days scheduled is essential to this position.
Knowledge, Skills, and Abilities:
- Computer skills
- Analytical skills
- Organization skills
- Interpersonal skills and professional demeanor
- Knowledge of all applicable laws and regulations under HIPAA and other legislation concerning member health records.
- Ability to retrieve a standard of 65 records per day by 90 days of hire.
- Ability to evaluate records for integrity.
- Detailed oriented/ perform all functions of the job with accuracy.
- Knowledge of common business software such as Microsoft Office, Microsoft Teams and Adobe products.
- Strong interpersonal and communication skills via phone and in person.
- Phone etiquette skills
- Ability to maintain confidentiality
- Work independently with minimum supervision while prioritizing work to meet deadlines.
- Ability to independently solve problems.
- Ability to multi-task and deal with complex assignments on a frequent basis.
As part of our hiring process, the following criteria must be met:
- Complete and successfully pass a criminal background check.
Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant’s criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees.
- Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency.
- Vaccination requirement (CHPW offers a process for medical or religious exemptions)
- Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.
Compensation and Benefits:
The position is FLSA Non-exempt and is eligible for overtime and has a 5% annual incentive target based on company, department, and individual performance goals.
CHPW offers the following benefits for Full and Part-time employees and their dependents:
- Medical, Prescription, Dental, and Vision
- Telehealth app
- Flexible Spending Accounts, Health Savings Accounts
- Basic Life AD&D, Short and Long-Term Disability
- Voluntary Life, Critical Care, and Long-Term Care Insurance
- 401(k) Retirement and generous employer match
- Employee Assistance Program and Mental Fitness app
- Financial Coaching, Identity Theft Protection
- Time off including PTO accrual starting at 17 days per year.
- 40 hours Community Service volunteer time
- 10 standard holidays, 2 floating holidays
- Compassion time off, jury duty
Sensory/Physical/Mental Requirements:
Sensory*:
- Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance.
Physical*:
- Extended periods of sitting, computer use, talking and possibly standing.
- Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion.
- Frequent torso/back static position; occasional stooping, bending, and twisting.
Mental:
- Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities.
- Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines.
Work Environment:
- Office environment. Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.
- Fast paced with frequent interruptions.