Member Risk Adjustment Coordinator I

Centene Corporation Chesterfield, MO
Position Purpose: Schedule appointments, gather medical histories and updated member and provider information in support of member outreach and claims reimbursement.

Assist members with scheduling office visits with primary care provider.

Retrieves charts from electronic medical record systems and compile medical records to send to other parties for coding.

Requests medical records by making outbound phone calls to provider groups.

Completes supplemental medical records requests using Excel files.

Assist with providing updated member and provider information to vendors.

Directs medical record requests to the responsible party.

Resolves outstanding vendor pends within a timely manner by updating member and provider demographics and working with chart load issues.

Ensure follow up on member appointments or other tasks designated.

Assist with ad hoc requests.

Education/Experience: High school diploma or equivalent. 0-2 years of customer service or medical office experience. Experience with preserved medical record retrieval systems preferred. Billing or coding experience preferred. Beginner level Excel skills.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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