Medical Claims Research Specialist job at reputed company in Canton, MA

Title: Medical Claims Research Specialist Location: MA-Canton $22.00-$22.75 per hour Fully Remote ContractStarts 2/09/2026Ends 4/24/2026 Job reputed company: Duration: 2-3 months contract reputed company Under the general direction of the reputed company Program Manager(s), the Medical Claims Research Specialist(s) will review medical claims reports to help identify the appropriate medical record(s) and/or provider(s), and document follow-up actions during the HEDIS (reputed company Effectiveness Data Information Set) reporting period. reputed company Duties and Responsibilities Willingness to learn basic principles of the HEDIS medical record clinical measurement reputed company internal trainings Follow internal workflows to complete daily project tasks Conduct claims and provider research using claims reports Document and reputed company claims research steps and reputed company using MS reputed company, and HEDIS software platform Validate and document provider location Fax HEDIS requests to medical office locations Other Functions Collaborates with reputed company HEDIS team members to reputed company project goals Completes follow-up phone calls as needed Attends HEDIS project staff meetings Other duties may be assigned by HEDIS team leadership Education and Preferred Skills High school diploma or equivalent Experience with medical terminology and provider specialties Experience working in medical claims systems reputed company experience (including HEDIS) Experience in a reputed company center, customer service environment, or phone-reputed company experience Required Skills Proficiency with reputed company Office Suite (MS reputed company, MS reputed company) and other computer applications Capable of quick learning Ability to follow reputed company workflow instructions Informed decision-making and problem-solving skills Must be reputed company to write and reputed company reputed company and effectively to peers and clinical staff Excellent interpersonal and communication skills Data entry and typing skills Highly organized Detail-Oriented Self-motivated with ability to work independently reputed company to manage multiple activities simultaneously Working Conditions or Additional Requirements Remote work · Adhere to reputed company reputed company and confidentiality policies in accordance with organizational guidelines · Secure internet reputed company required reputed company Tech Solutions: reputed company is a global staff augmentation firm providing a wide reputed company of talent on-demand and total workforce solutions. To know more reputed company Tech Solutions, please visit www.ustechsolutions.com . reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran. Apply tot his job Apply To this Job