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Doc Retrieval II at Zelis - ApplyBlast

Doc Retrieval II

Zelis

5 months ago

3.4 on Glassdoor

India

Hybrid

Full Time

Junior

0 applicants

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About this role

A Member Services Auditor at Zelis manages medical record and facility bill claim requests while overseeing a team of nurse auditors. The role involves contacting healthcare providers to gather necessary documentation, prioritizing daily claims for follow-up, and adhering to strict privacy standards. This position requires foundational proficiency in medical record retrieval and strong organizational skills to support Zelis' mission of optimizing the healthcare financial experience.

Responsibilities

Manage medical record and facility bill claim audit requests
Oversee nurse auditor staff during the medical claim audit process
Contact healthcare providers to request billing documents via phone and mail
Prioritize and organize daily claims requiring document follow-up
Ensure adherence to company standards regarding patient privacy

Skills

Qualifications

Associate's DegreeGraduate

About Zelis

zelis.com

Headquarters

Boston, Massachusetts, United States

Company Size

1001-5000 employees

Founded

2016

View Profile

Zelis is a healthcare financial technology company that provides a connected platform for payers, providers, and healthcare consumers. Their solutions span network optimization, claims management, price transparency, payments, and member engagement communications. Zelis serves more than 770 payers and thousands of providers nationwide, helping reduce costs and administrative burden across the healthcare financial system.