Chart Retrieval Specialist

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.

• Serves as the key external-facing member of cross-functional/divisional team of designated resources assigned to manage chart abstraction for assigned providers and facilities.

• Informs and educates providers and physicians on Horizon's chart collection activities and is responsible for fostering provider relationships and adoption of Horizon Risk Adjustment initiatives.

• Responds to provider inquiries regarding provider related information and data in order to resolve issues and increase chart retrievalvolumes.

• Educates, monitors, analyzes, documents and interacts with physician and other health care professionals to ensure cooperation and understanding of chart retrieval projects.

• Alerts leadership to potential issues and opportunities found through physician contact.

• Maintains a thorough knowledge of healthcare industry trends and developments through the review of industry publications, newsletters and formal training.

• Ensures medical records are assembled in standard orders and are accurate and complete.

• Ensure and meet productivity expectations standards for collection of medical records.

• Maintain strict confidentiality and security with all patient records while ensuring compliance to HIPPA standards.

• Receive and process chart request in accordance with the Company Standards. Ensures integrity of chart retrieval database and quality audit controls of all medical records documents in a timely and accurate manner.

• High School Diploma/GED required.

• Requires a minimum of two (2) years healthcare experience, preferably with provider or client focus/interaction.

• Requires a valid New Jersey driver's license and good driving record, to be determined via a New Jersey DMV check.

• HIPPA Privacy Certification preferred.

• Requires knowledge of healthcare industry.

• Requires knowledge of New Jersey physician community.

• Requires strong PC skills including Microsoft Office

• Basic navigation and knowledge of clinical EMRS systems: Allscripts, Epic, E-clinical works, Nextgen are a plus.

• Strong interpersonal skills such as diplomacy, patience and politeness.

• Time management skills.

• Ability to balance multiple projects.

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Salary Range:

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

• Comprehensive health benefits (Medical/Dental/Vision)

• Retirement Plans

• Generous PTO

• Incentive Plans

• Wellness Programs

• Paid Volunteer Time Off

• Tuition Reimbursement

Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.