Doc Retrieval II

Role Overview: As a part of Zelis India's team, your role is crucial in supporting initiatives that enhance the healthcare financial experience. You will contribute to the development and implementation of innovative solutions, ensuring optimized technology and processes for efficiency. Additionally, you will be part of a collaborative work culture with leadership development opportunities, global exposure, and professional growth in a dynamic environment. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, Zelis India fosters a holistic workplace experience. Your contribution will play a vital role in maintaining high service delivery standards and upholding Zelis" award-winning culture. Key Responsibilities: - Successfully manage medical record claim audit requests and facility itemized bill claim requests. - Lead a team of 2 or more nurse auditors in the medical claim audit process by obtaining medical records and documents from providers nationwide. - Contact healthcare providers via phone, fax, mail, and email to request and obtain medical and billing documents for claims processing. - Organize and prioritize claims daily for follow-up on missing billing documents. - Learn and process according to various provider/client stipulations. - Efficiently utilize the AutoFax document retrieval platform. - Perform other related responsibilities as assigned. - Maintain awareness of and ensure adherence to Zelis standards regarding privacy. Qualifications Required: - Foundational proficiency in requesting medical records and documents from medical providers. - 2+ years of medical record experience or 1+ year prior Document Retrieval I experience. - Solid understanding of various types of medical documents and processes for obtaining them. - Excellent verbal communication skills. - Knowledge of MS Outlook, MS Word, & Internet Explorer. - Strong prioritizing & organizational skills. - Excellent customer service & telephone skills. - Ability to work independently and be accountable for tasks. - Ability to follow detailed instructions on new assignments. - Professional manner and respect for confidentiality. - Ability to manage and prioritize multiple tasks, work under pressure, and meet deadlines. - Outstanding ability to multitask as required. - Attention to detail. - Effective communication skills and ability to work well with others. - Ability to communicate ideas and information clearly. - Proficiency in call center phone etiquette. - Completes work in a timely fashion. Please note that the minimum education requirement for this role is a graduate degree.,