Inovalon

EHR Electronic Provider Specialist

Job Locations US-AZ-Phoenix
Requisition ID
2020-10305
Category (Portal Searching)
Other

Overview

 

Inovalon is a leading technology company that combines advanced cloud-based data analytics and data-driven intervention platforms to achieve meaningful insight and impact in clinical and quality outcomes, utilization, and financial performance across the healthcare landscape. Inovalon's unique achievement of value is delivered through the effective progression of Turning Data into Insight, and Insight into Action.

The Electronic Review Specialist is responsible for data and information integrity as well as providing follow–up on the status of medical record requests with personnel of provider sites. The incumbent will communicate any changes, updates or issues to Lead Review Specialist, Senior Lead Review Specialist or Operations Manager.

 

Responsibilities

  • Process, track and monitor client requests across all aspects of Employer s offered services for a) EHR credentialing reviews (if applicable), b) corrective action solutions, c) HEDIS chart abstractions, d) Medicare risk adjustment reviews and e) custom chart abstractions;
  • Work with team to assist and respond to Q & As for the new EHR tasks and implementations;
  • Provide support in accordance with the team s high quality standards via telephone and other tools;
  • Participate and assist in the workflow and process creation;
  • Schedule EHR reviews for the Electronic Review Specialist in an organized and efficient manner following Inovalon s documented procedure for scheduling, documenting the contact and sending the required documentation to the scheduled facility;
  • Responsible for Electronic Health Record recruitment and converting leads into support of closed deals;
  • Provide administrative support and reports as required to management including, but not limited to, scheduling and staffing meetings, organizing and producing documents, maintaining filing systems, mailings and other daily tasks incidental to operations;
  • Process and scan digital copies of received medical documents into appropriate method in a timely manner;
  • Maintain liaison with Lead Review Specialist and or Operations Managers and other staff of Inovalon s to support resolving problems concerning EHR;
  • Maintain compliance with Inovalon s policies, procedures and mission statement;
  • Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; and
  • Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company.

Qualifications

  • Minimum 6 -12 months industry experience and customer service;
  • Adapt to changing situations while learning quickly;
  • Effective written and strong verbal communication;
  • Ability to relay information to ensure they understand the answer so with a clear understanding;
  • Ability to work well within a fast pace team environment;
  • Strong call center and sales skills;
  • Ability to coordinate reviewer schedules, processes, and quality;
  • Strong negotiation skills; and
  • Time management and multi-tasking capabilities.

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