Paradigm Information Services, Inc. | Contract
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Job Description
This is a remote position.
Paradigm is currently in search of a Senior Medical Record Review Associate to work for our client in the legal services industry. This person is responsible for reviewing medical records submitted from class members, and documenting the evidence in accordance to the program specific protocols. In this role, the Medical Record Review Associate performs moderately complex tasks characterized by identification of specific data in the medical records pursuant to the assigned protocols. Such evidence may include legal documents and various forms of medical records which are analyzed, applied to the protocol standards and documented in the pre-defined project specific database. Highly skilled individuals with an advanced ability to review the medical records comprehensively and extract the pertinent information needed to reflect data specific to each claimant is essential in this role. This data will directly impact each claimant's eligibility status in the enrolled settlement program, therefore, accuracy with this process is vital to ensure that the outcome for each case results in the claimant receiving the designated award value for their alleged injuries. This role then delivers customized reporting to our clients to provide an overall summary of the inventory of their cases and individually for each claimant.
Type: 6 Month contract
Location: Remote, United States (Beaverton, OR/Phoenix, AZ/ Kansas City, MO Area Candidates Only)
Benefits: Medical, dental, vision, life, 401K, PTO, and sick days
As a Medical Record Review Associate, you will:
- Ensure excellent customer service internally and externally.
- Complete quality work on time and within predefined project standards.
- Comprehensively review all medical record types and apply to program specific protocols.
- Accurately and efficiently document evidence findings into software applications in accordance to program protocols.
- Work as team member to meet critical weekly and monthly deadlines.
- Meet the metrics for quality standards for assigned projects.
- Demonstrate flexibility for cross-training to other projects as needed.
- Independently manage caseloads and meet production metrics.
- Use subject matter expertise in everyday tasks to meet the team’s objectives, make recommendations based on the interpretation/synthesis of data, and assess team needs to determine action.
- Proactively identify opportunities for process improvement.
- Assist in the planning and or execution of special projects as needed.
- Ensure the protection of sensitive information.
- Collaborate with others to identify and resolve issues or process improvements.
- Adhere to standard operating procedures. (SOP’s)
- Participate in meetings and being a dependable resource on assigned projects.
- Assist management with escalations when applicable.
Requirements
Our experience, and skills, wish list include:
- RN, LPN, or Paralegal required
- 2-5 years experience of extensive review of medical records.
- Possess experience with mass tort, personal injury, disability, worker's compensation and HEDIS reviews.
- Ability to understand and interpret content of medical records.
- Strong analytical, critical thinking, research, problem-solving and writing skills.
- Proficient in Microsoft applications (Outlook, Word, Excel) with fluent typing and data entry skills.
- Excellent written and verbal communication skills.
- Effective time management skills and ability to shift priorities as required are essential.
- Accustomed to successfully meeting critical deadlines.
- Successful completion of Case Study assessment.
Paradigm offers medical, dental, vision, life, 401K, PTO, and sick days.
About Us, Paradigm
Want to love Mondays? It's possible when you love what you do. Paradigm is a staffing solutions firm dedicated to finding the perfect job for candidates. We're connected with some of the most innovative tech companies around, giving our employees that competitive edge needed in today's job market.
Paradigm Information Services does not discriminate based on race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.
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