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Medical Administrative Representative( HEDIS)

Remote, USA Full-time Posted 2025-11-03
Position: Medical Administrative Lead Representative Duration: 3-4 Months Contract + High Potential to Extend... Location: 100 % Remote Pay : $20 Job Description: Duties: • 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, knowledge of CPT codes and Claims data • The Medical Administrative Lead Representative works under the direction of the **** Team Lead and other ***** personnel. • The position requires strong communication, computer, and clerical skills. • Daily activities include tracking assigned research in electronic systems, utilizing **** 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 (Outlook, Excel, and Word) is required. Skills The candidate will possess: • Strong computer skills, (e.g., Data entry, Microsoft Word and Outlook, Excel, PDF, WebEx, 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 a team environment • Knowledge of CPT Codes and Claims data - Required for the Research Team • Must have a secure designated work area and a reliable Internet connection as this position will be 100% work from home. Education: • High school graduate or GED equivalency. • Experience with Microsoft Office Suite (Outlook, Excel, and Word) required. • Knowledge of CPT Codes and Claims data - Required for the Research Team • Experience as a medical assistant or clinical administrative assistant is preferred. • Coding, claims, and medical record review experience desired but not necessary. Scheduled Time: • 8 am - 4:30 pm Local Time Apply Job!  

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