Document Retrieval Specialist

4 weeks ago


Morristown NJ USA, United States Zelis Full time
Job Title: Document Retrieval Specialist

Zelis 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 in the medical claim audit process.

Key Responsibilities:
  • Manage medical claim audit requests and facility claim requests (UB/IB requests) successfully.
  • Request medical records and applicable documents from medical providers nationwide, including priority providers.
  • Contact healthcare providers (30 or more per day) to request and obtain medical and billing documents via phone, fax, mail, and email for claims processing.
  • Maintain a history of daily assignments in a tracking database.
  • Perform other related responsibilities as assigned.
  • Maintain awareness of and ensure adherence to Zelis standards regarding privacy.
Requirements:
  • Foundational proficiency in requesting medical records and applicable documents from medical providers.
  • Solid understanding of various types of medical documents.
  • 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.
Working 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. Our 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. We see across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

We are committed to 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.

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.



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