Medical Administrative Lead Representative (Research Team) - HEDIS at Spectraforce Technologies Inc

Job Title: Medical Administrative Lead Representative (100% REMOTE)
Duration: 03 Months


Description:

• This role is for Medical Administrative Lead Representative (Research Team)
• This role differs from the regular HEDIS Admin role, as there is limited phone or customer outreach.
• This role will require Critical Thinking, experience with performing Research, and knowledge of CPT codes and Claims data.

Duties

• The Administrative Support Specialist works under the direction of the Company Team Lead and other Company personnel.
• The position requires strong communication, computer, and clerical skills.
• Daily activities include tracking assigned research in electronic systems, utilizing Company claims systems, using the internet to gather provider/location information, and possible phone/fax outreach if needed.
• Other daily activities include the ability to manage large amounts of data electronically, file documents in electronic filing software, faxing, scanning, and abstracting documents from electronic storage devices.
• Previous experience in Microsoft Office Suite (i.e., Outlook, Excel, and Word) is required.

The candidate will possess:

• Strong computer skills, (e.g., Data entry, Microsoft Word and Outlook, Excel, PDF, Skype, Outlook)
• Must be comfortable using multiple computer systems including working with dual monitors.
• Excellent communication skills (written and verbal)
• Must be able to perform internet research and research using Cigna proprietary software systems
• Must be detail oriented
• Must demonstrate tenacity to obtain the medical records
• Must have knowledge of medical terminology
• Must be a quick learner, who can demonstrate the ability to follow multi-step instructions, be a problem solver, and adhere to department protocols
• Ability to work independently and in team environment
• Knowledge of CPT Codes and Claims data - Required for the Admin Research Team

Education:

• High school graduate or GED equivalency.
• Experience with Microsoft Office Suite (i.e., Outlook, Excel, and Word) required.
• Knowledge of CPT Codes and Claims data - Required for the Admin Research Team
• Medical Assistant or Clinical Administrative Assistant experience preferred.

About Us: Established in 2004, SPECTRA FORCE ® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRA FORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at:

Benefits: SPECTRA FORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRA FORCE provides unpaid leave as well as paid sick leave when required by law.

Equal Opportunity Employer: SPECTRA FORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at if you require reasonable accommodation.

California Applicant Notice: SPECTRA FORCE is committed to complying with the California Privacy Rights Act (“CPRA”) effective January 1, 2023; and all data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting .

LA County, CA Applicant Notice: If you are selected for this position with SPECTRA FORCE , your offer is contingent upon the satisfactory completion of several requirements, including but not limited to, a criminal background check. We consider qualified applicants with arrest or conviction records for employment in accordance with all local ordinances and state laws, including the Los Angeles County Fair Chance Ordinance for Employers (FCO) and the California Fair Chance Act (FCA). The background check assessment will consider whether a criminal history could reasonably have a direct, adverse impact on the job-related safety, security, trust, regulatory compliance, or suitability for this role. Such findings may result in withdrawal of a conditional job offer.


At SPECTRA FORCE , we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $21.00/hr.