Document Retrieval Specialist
1 month ago
The Document Retrieval Specialist is responsible for contacting healthcare providers to request and obtain billing documents and processes document request cancellations.
Key responsibilities:
-
Successfully manages both medical claim audit requests and facility claim requests known as UB/IB requests.
-
Manages 2 or more nurse auditor staff in the medical claim audit process by requesting medical records and applicable documents from medical providers nationwide. Including request for priority providers.
-
Contacts healthcare providers (30 or more per day) to request and obtain medical and billing documents via phone, fax, mail & e-mail for claims processing.
-
Meets or exceeds Quality Objectives established by the Document Retrieval department
-
Maintains history of daily assignments in tracking data base
-
Performs other related responsibilities as assigned.
-
Maintain awareness of and ensure adherence to ZELIS standards regarding privacy.
Technical Skills / Knowledge:
-
Has foundational proficiency in requesting medical records and applicable documents from medical providers
-
Has a solid understanding of various types of medical documents
-
Has a solid understanding of processes and techniques in obtaining documents
-
Computer proficiency and technical aptitude with the ability to utilize CMS, Adobe Acrobat and MS Office applications
-
Thorough knowledge of company and departmental policies and procedures
Independence/ Accountability:
-
Requires minimal daily supervision on day to day tasks but seeks guidance on more complex tasks
-
Accountable for day to day tasks
-
Ability to follow detailed instructions on new assignments
-
Must have professional manner and respect the confidentiality of administrative matters and files
-
Ability to manage and prioritize multiple tasks
-
Ability to work under pressure and meet deadlines
-
Completes work in a timely fashion
-
Outstanding ability to multiplex tasks as required
-
Attention to detail
Education:
High School Diploma
Associates Degree a plus
Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.
Commitment to Diversity, Equity, Inclusion, and Belonging At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.
Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.
Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com.
SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.
Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.
-
Document Retrieval Specialist
4 weeks ago
Morristown, Tennessee, United States Zelis Full timeJob SummaryThe Document Retrieval Specialist at Zelis is responsible for contacting healthcare providers to request and obtain billing documents. This role involves successfully managing medical claim audit requests and facility claim requests, as well as managing nurse auditor staff in the medical claim audit process.Key ResponsibilitiesManage medical claim...
-
Document Retrieval Specialist
4 weeks ago
Morristown, Tennessee, United States Zelis Healthcare Full timeThe Document Retrieval Specialist is responsible for contacting healthcare providers to request and obtain billing documents and processes document request cancellations.Key Responsibilities:Successfully manages both medical claim audit requests and facility claim requests known as UB/IB requests.Manages 2 or more nurse auditor staff in the medical claim...
-
Document Retrieval Specialist
1 month ago
Morristown, United States Zelis Healthcare Full timeThe Document Retrieval Specialist is responsible for contacting healthcare providers to request and obtain billing documents and processes document request cancellations. Key responsibilities: Successfully manages both medical claim audit requests and facility claim requests known as UB/IB requests. Manages 2 or more nurse auditor staff in the medical...
-
Document Retrieval Specialist
4 weeks ago
Morristown, NJ , USA, United States Zelis Full timeJob Title: Document Retrieval SpecialistZelis is seeking a highly organized and detail-oriented Document Retrieval Specialist to join our team. As a key member of our operations team, you will be responsible for contacting healthcare providers to request and obtain billing documents, processing document request cancellations, and managing nurse auditor staff...
-
Document Retrieval Specialist
4 weeks ago
Morristown, NJ , USA, United States Zelis Healthcare Full timeJob SummaryThe Document Retrieval Specialist is responsible for contacting healthcare providers to request and obtain billing documents and processes document request cancellations.Key Responsibilities:Successfully manages both medical claim audit requests and facility claim requests known as UB/IB requests.Manages 2 or more nurse auditor staff in the...
-
Interventional Radiology Specialist
4 weeks ago
Morristown, New Jersey, United States ATD Technology LLC Full timeJob SummaryWe are seeking a highly skilled Radiologic Technologist to join our team as an Interventional Radiology Specialist. This role will involve assisting proceduralists during complex diagnostic and interventional vascular, neuro-interventional cases.Key ResponsibilitiesAssist proceduralists during complex diagnostic and interventional vascular,...
-
Cardiac Catheterization Specialist
4 weeks ago
Morristown, Tennessee, United States Atlantic Health System Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Cardiac Catheterization Specialist to join our team at Atlantic Health System. As a key member of our cardiovascular team, you will play a critical role in preparing patients and assisting physicians with cardiac catheterization procedures.Key ResponsibilitiesPrepare procedure rooms for cardiac...
-
Interventional Radiology Specialist
3 weeks ago
Morristown, Tennessee, United States HexaQuEST Health, Inc. Full timeJob Summary:We are seeking a highly skilled Interventional Radiology Specialist to join our team at HexaQuEST Health, Inc. The ideal candidate will have 3-5 years of experience as an Interventional Radiologic technologist or a Cardio-Vascular technologist with NJ radiographic licensure.Key Responsibilities:Assist proceduralists during complex diagnostic and...
-
Medical Designer
3 weeks ago
Morristown, New Jersey, United States Gensler Full timeJob SummaryWe are seeking a highly skilled Medical Designer to join our team at Gensler. As a Technical Designer, you will work closely with architects to bring design concepts to life.Key ResponsibilitiesProduce technical documentation and communicate project progress with the lead architect and team members.Partner with the Project Architect to create...
-
Pharmacy Technician/Operations Specialist
3 weeks ago
Morristown, New Jersey, United States Atlantic Health System Full timeKey Responsibilities:As a Pharmacy Technician/Operations Specialist at Atlantic Health System, you will play a vital role in ensuring the smooth operation of our pharmacy services. Your primary responsibilities will include:Distribution/Returns:• Handles requests via phone, window, fax, and computer in a professional and timely manner.• Delivers...
-
Cardiac Catheterization Specialist
3 weeks ago
Morristown, New Jersey, United States Atlantic Health System Full timeJob Summary:Atlantic Health System is seeking a skilled Cardiac Catheterization Specialist to join our team. As a key member of our cardiovascular support team, you will play a critical role in preparing patients and assisting physicians with cardiac catheterization procedures.Key Responsibilities:Prepare procedure rooms for cardiac catheterization and...
-
Cardiac Catheterization Specialist
3 weeks ago
Morristown, Tennessee, United States Atlantic Health System Full timeJob SummaryAs a Cardiac Catheterization Specialist at Atlantic Health System, you will play a critical role in preparing patients and assisting physicians with cardiac catheterization procedures such as coronary angiograms, angioplasty, and stents. This position requires strong communication and teamwork skills, as you will integrate with physicians and...
-
Cardiac Catheterization Specialist
4 weeks ago
Morristown, Tennessee, United States Atlantic Health System Full timeJob Summary:We are seeking a highly skilled and dedicated Cardiac Catheterization Specialist to join our team at Atlantic Health System. As a key member of our cardiovascular team, you will be responsible for preparing patients and assisting physicians with cardiac catheterization procedures such as coronary angiograms, angioplasty, and stents.Key...
-
Interventional Radiology Specialist
3 weeks ago
Morristown, New Jersey, United States HexaQuEST Health, Inc. Full timeJob SummaryWe are seeking a highly skilled Interventional Radiology Technician to join our team at HexaQuEST Health, Inc. The ideal candidate will have 3-5 years of experience in interventional radiology or cardiovascular technology with NJ radiographic licensure.Key ResponsibilitiesAssist proceduralists during complex diagnostic and interventional vascular,...
-
Hospice Nurse Specialist
4 weeks ago
Morristown, Tennessee, United States LHC Group Full timeHospice Nurse SpecialistWe are seeking a compassionate and skilled Hospice Nurse Specialist to join our team at LHC Group. As a Hospice Nurse Specialist, you will be responsible for providing high-quality, patient-centered care to individuals with life-limiting illnesses and their families.Key Responsibilities:Conduct initial nursing evaluations to determine...
-
Quality Assurance Specialist
4 weeks ago
Morristown, Tennessee, United States Clayton Homes Full timeQuality Assurance SpecialistClayton Homes, a leading housing provider, is seeking a Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will be responsible for ensuring the production of high-quality interior doors. Your duties will include conducting production line inspections, verifying compliance with approved methods,...
-
Credentialing Specialist
3 weeks ago
Morristown, United States A-Line Staffing Solutions Full timeA-Line Staffing is now hiring Credentialing Specialist (onsite) in Morristown NJ 07960. The Credentialing Specialist (onsite) would be working for a Major Healthcare System and has career growth potential. This would be full time / 40 hours per week. Credentialing Specialist (onsite) Highlights: The required availability for this position are as...
-
Clinical Nutrition Specialist, Home Care
3 weeks ago
Morristown, Tennessee, United States Atlantic Health System Full timeJob Title: Clinical Nutrition Specialist, Home CareJob Summary:We are seeking a highly skilled Clinical Nutrition Specialist to join our Home Care team. As a Clinical Nutrition Specialist, you will be responsible for providing clinical nutrition assessment and documentation for patients with chronic diseases in their homes. You will also maintain quality...
-
Accounting Specialist
4 weeks ago
Morristown, Tennessee, United States RemX Full timeJob OverviewRemX is seeking an experienced Accounting Specialist to join their team in Morristown, TN. The ideal candidate will have a strong background in accounts payable and a keen eye for detail.Key Responsibilities:Process and verify invoices and vendor statementsPerform 3-way matching and prepare EFT and payment documentsCommunicate with vendors and...
-
Finance Operations Specialist
4 weeks ago
Morristown, Tennessee, United States TriOptus LLC Full timeJob Title:Finance Operations SpecialistLocation:East Hanover, NJAbout the role:The Trade Operations Specialist is responsible for ensuring the accuracy and integrity of master data within the sales and distribution system.This position supports the business at a tactical and operational level by managing the setup and maintenance of master data, testing...