Job Description

Associate, Chart Procurement Specialist

625 State St, Schenectady, NY 12305, USA * Rochester, NY, USA

• Tarrytown, NY, USA
• Vermont, USA Req #1636

Friday, July 21, 2023

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it\'s time to make a healthy career move to MVP!

Status: Full Time, Non-Exempt

This position works with provider offices and facilities to obtain medical records for the purpose of the Risk Adjustment team validating diagnoses that were sent to CMS (Center for Medicare & Medicaid Services). Works to collect medical records under a sometimes very strict deadline. Contacts local provider offices to schedule appointments to obtain medical records using a laptop and mobile scanner within the provider office. Makes follow up calls and field provider inquiries regarding payments and chart collection. Travels to local provider offices. Interacts with physicians and office staff in person, by phone, fax or email. Builds and maintains a rapport with local provider offices. Learns new EMR systems on the fly as they arise and make decisions on the best way to obtain medical records off those systems. Works with I.T. on remote access to provider offices. Scans, downloads, merges and renames patient charts and other records. Completes provider payment and invoice tracking/processing. Works with MVP Provider Relations Representatives as needed to address provider concerns and needs. Updates and works with work lists in Excel. Research issues as needed and documents accordingly. Attend department and team meetings. Performs other duties as assigned.

POSITION QUALIFICATIONS

Minimum Education:
AAS degree with 2 years of related experience or equivalent combination of education and complimentary experience preferred.

Minimum Experience:
One year experience in a claims processing, health care/provide office setting or related position required.

Required Skills:

• Proven ability to use effective time management skills and excellent organizational skills

• Detail oriented with proven ability to produce quality work.

• Good problem solving skills and ability to learn and make decisions on the fly

• Proven communication and adaptability skills in sometimes difficult situations with provider offices in various working environments. Strong communication skills including problem resolution.

• Ability to adapt to various working environments and situations

• Experience using Microsoft Windows; Outlook and Excel, Strong Knowledge of Excel required

• Maintain composure in difficult situations

• Must have valid NYS Driver\'s License

• Must be willing to work flexible hours depending on business needs

• Ability to travel to and from provider offices using personal vehicle

About MVP
MVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com

Please apply and learn more - including how you may become a proud member of our team.

Other details

• Job Family Network Management & Development
• Pay Type Hourly

MVP Health Care