Medical Record Retrieval Specialist
Premera Blue CrossAbout the role
Workforce Classification:
Telecommuter
Join Our Team: Do Meaningful Work and Improve People’s Lives
Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.
To better serve our customers, we are fostering a culture that emphasizes employee growth, collaborative innovation, and inspired leadership. We are dedicated to creating an environment where employees can excel and where top talent is attracted, retained, and thrives. As a testament to these efforts, Premera has been recognized on the 2025 America's Dream Employers list. Newsweek honored Premera as one of America's Greatest Workplaces, America's Greatest Workplaces for Inclusion, and America's Greatest Workplaces For Mental Well-Being, Forbes ranked Premera among America’s Best Midsize Employers for the fourth time.
Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/.
The Medical Records Specialist, in coordination with Risk Adjustment and Quality Departments, will retrieve electronic medical records from provider systems, copy service systems, and create and generate letter requests to providers. All medical record retrieval efforts will be in support of Commercial, Medicare Advantage, Federal Employee Program or other Quality and Risk Adjustment lines of business initiatives and work efforts. As part of large retrieval projects, may conduct outbound calls to providers to help remove roadblocks for receipt of medical records. Will support other tasks such as data entry, research with multiple EMRs as needed for the overall medical record retrieval initiative, train contingent workers during peak seasons, and support quality audits reviews of contingent workers.
What you’ll do:
Retrieve Medical Records from multiple provider EHR systems.
Generate Letter Requests on behalf of Premera Risk and Quality Departments.
Telephone Outreach to providers for status and to help remove retrieval barriers.
Data Entry.
System research as needed (web or internal source systems).
Ability to work with strict deadlines.
Assist with maintaining Job Aides for each provider system and copy service.
Train all new Contingent workers during peak seasons
Other Duties as assigned by Team Lead, Manager, or Director
What you’ll bring:
High School Diploma or GED (Required)
Two (2) years’ relevant experience (Required)
Demonstrated knowledge of HIPAA and Privacy Confidentiality Laws (Required)
High Speed Cable, DSL or Fiberoptic Internet, no less than 20 mbps – Satellite and Wireless connections will not work with our equipment. (Required)
Strongly prefer medical record retrieval experience in EHR systems
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