Document Retrieval Specialist
4 weeks 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 priority providers.
- Contacts healthcare providers (30 or more per day) to request and obtain medical and billing documents via phone, fax, mail, and 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.
- Maintains awareness of and ensures 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 a 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 ask 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.
-
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...
-
Cardiac Catheterization Specialist
1 month 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
4 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...
-
Cardiac Catheterization Specialist
4 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...
-
Hospice Nurse Specialist
1 month 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
1 month 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,...
-
Clinical Nutrition Specialist, Home Care
4 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...
-
Medical Equipment Specialist
1 month ago
Morristown, Tennessee, United States Atlantic Health (SP) Full timeJob SummaryWe are seeking a highly skilled Medical Equipment Specialist to join our team at Atlantic Health System. As a key member of our healthcare delivery team, you will be responsible for transporting, repairing, assembling, and distributing medical supplies and equipment to patients.Key ResponsibilitiesMaintain accurate and timely paperwork and entry...
-
Senior Contract Compliance Specialist
4 weeks ago
Morristown, Tennessee, United States Covanta Full timeAt Covanta, we're committed to leading the charge to a carbon-negative future through sustainable waste solutions. As a Contract Compliance Sr. Specialist, you'll play a key role in ensuring our business practices align with our vision.About the RoleThe Contract Compliance Sr. Specialist will be responsible for preparing, reviewing, and negotiating contracts...
-
RN - Med Surg Specialist
4 weeks ago
Morristown, Tennessee, United States MetaSense Inc Full timeJob SummaryMetaSense Inc is seeking a highly skilled RN - Med Surg Specialist to join our team. The ideal candidate will possess excellent clinical skills, strong communication abilities, and a passion for delivering high-quality patient care.Key Responsibilities:Conduct thorough assessments of patients, utilizing knowledge of growth and development stages...
-
Radiology Imaging Specialist
4 weeks ago
Morristown, Tennessee, United States AHS Staffing Full timeAHS Staffing is seeking a skilled Radiology Imaging Specialist for a travel opportunity in a medical setting.Job DetailsSpecialty: Radiology ImagingDiscipline: Allied Health ProfessionalEmployment Type: TravelThe selected candidate will work as a Diagnostic Imaging Technician, utilizing their expertise to capture high-quality images for diagnostic...
-
RN - Cath Lab - Travel Specialist
1 month ago
Morristown, Tennessee, United States Integrated Resources Full timeJob Summary:Integrated Resources is seeking a skilled RN - Cath Lab - Travel Specialist to join our team. As a Cath Lab RN - Travel Position, you will be responsible for providing high-quality patient care in a dynamic and fast-paced environment. Key Responsibilities: Assessment skills: Conduct thorough assessments of patients to identify their needs and...
-
Project Finance Specialist
3 weeks ago
Morristown, Tennessee, United States WSP Full timeAbout the RoleWe are seeking a highly skilled Project Finance Specialist to join our team at WSP. As a Project Finance Specialist, you will play a critical role in the financial management of our projects, ensuring accuracy, efficiency, and compliance with company policies and industry standards.Key Responsibilities:Manage and analyze project costs and...
-
Radiology Specialist: CT Scan Technologist
1 month ago
Morristown, Tennessee, United States Samba Care Full timeJob Title: Radiology Specialist: CT Scan TechnologistJob Summary: Samba Care is seeking a skilled Radiology Specialist to work as a CT Scan Technologist.Responsibilities:* Prepare examination rooms for patient examinations* Administer radiopharmaceuticals to obtain clear, usable images* Position patients and equipment, explain procedures, and ensure patient...
-
Nurse Care Specialist
4 weeks ago
Morristown, Tennessee, United States Morristown Caris Full timeJob SummaryAs a Registered Nurse with Caris Healthcare, an affiliate of NHC, you will play a vital role in providing compassionate care to patients and their families. We are seeking a skilled and dedicated nurse to join our team as a Nurse Care Specialist.ResponsibilitiesAssess and monitor patient symptoms, documenting all information in required...
-
Travel Nurse RN Specialist
2 weeks ago
Morristown, Tennessee, United States Nightingale Nurses Full timeNightshift Travel Nursing OpportunitiesSalary Range: $60-$80 per hour (36 hours/week)About the Role:We are seeking an experienced Registered Nurse to join our travel nursing team as a Maternal - Newborn specialist. As a key member of our team, you will provide exceptional patient care and support in a fast-paced hospital environment.Job Description:Provide...
-
Diagnostic Imaging Specialist
4 weeks ago
Morristown, Tennessee, United States Covenant Health (Tennessee) Full timeJob Summary:Morristown-Hamblen Healthcare System is seeking a skilled Mammography Tech to join our team. As a Diagnostic Imaging Specialist, you will be responsible for performing mammographic procedures, applying proper ionizing radiation, and obtaining high-quality diagnostic images for interpretation by radiologists.Responsibilities:• Receive, relay,...
-
Medical Laboratory Specialist
4 weeks ago
Morristown, Tennessee, United States Covenant Health (Tennessee) Full timeJob Summary:The Medical Technologist performs high complexity clinical lab tests for diagnosis and treatment of patients by physicians. This role requires independent judgment to provide information to diagnose and treat illness, as well as consult with physicians about test results.Responsibilities:Perform high complexity tests as appropriate for the...
-
Radiology Imaging Specialist
4 weeks ago
Morristown, Tennessee, United States Samba Care Full timeJob Summary:Samba Care is seeking a skilled Radiology Imaging Specialist to join our team. As a Diagnostic Imaging Technologist, you will be responsible for preparing examination rooms, administering radiopharmaceuticals, and positioning patients and equipment for clear, usable images.Key Responsibilities:Preparing examination rooms for patient...