Medical Records Specialist I, II

Medical Records Specialist I, II

Lewiston, ID

In the Medical Records Specialist I role, you’ll provide telephonic and clerical support, as well as written correspondence for the Claims/BlueCard division. This position works closely with other Blue Plans and provider offices to obtain pertinent medical records in order to facilitate the accurate and timely processing of claims. The Medical Record Specialist will perform work involving the critical analysis and processing of material. This position will be responsible for ensuring the completion and of multiple complex inquiries.

Responsibilities & Requirements:

Medical Records Specialist I

• The Medical Records Specialist I would have a High School Diploma or GED and 1 years’ experience in Customer Service, either in a call center or other industry such as insurance, retail, banking, restaurant, hospital, medical office or other experience with extensive customer service contact
  
• General office experience or training, technical, vocational, careers in basic office procedures
• Working knowledge of medical terminology and coding preferred.
• Knowledge of claims processing, BlueCard experience preferred
• Ability to apply mathematical concepts and calculations
• Strong oral, written and interpersonal skills and strong customer-service skills, including courteous telephone etiquette
• Keyboarding skills of 30 wpm, 10-key ability, proficient with Microsoft Excel
• Work in a team environment and work effectively with all levels of staff
• Adapt to a fast-paced environment
• Learn and retain new or evolving information and procedures
• Ability to work under stress and pressure and respond to inquiries with tact, diplomacy and patience
• Exercise discretion on sensitive and confidential matters
• Interpret policies and procedures and communicate effectively with employees, medical professionals and other Blue Plans, both verbally and in writing
• Proficiency in English grammar, spelling, punctuation and proof-reading
• Ability to handle multiple tasks simultaneously and appropriately prioritize workload

Medical Records Specialist II

• One year experience as a Medical Records Specialist I, performing at a core level or above, or equivalent experience
• Experience in working cross-departmentally; including provider relations, member services, and claims

About Us:
Regence employees are part of the larger Cambia family of companies, which seeks to drive innovative health solutions. We offer a competitive salary and a generous benefits package. We are an equal opportunity employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check is required.

Regence is 2.2 million members, here for our families, co-workers and neighbors, helping each other be and stay healthy and provide support in time of need. We’ve been here for members more than 90 years. Regence is a nonprofit health care company offering individual and group medical, dental, vision and life insurance, Medicare and other government programs as well as pharmacy benefit management. We are the largest health insurer in the Northwest/Intermountain Region, serving members as Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (in Washington). Each plan is an independent licensee of the Blue Cross and Blue Shield Association.

If you’re seeking a career that affects change in the health care system, consider joining our team at Cambia Health Solutions. We advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers’ engagement in their health care decisions, and offering a diverse range of products and services that promote the health and well-being of our members. Cambia’s portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.