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HEDIS Coordinator

El Segundo, CA 90245

Employment Type: Contract Position: Administrative/Clerical/Support Branch: Rancho Cordova

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HEDIS Coordinator Needed - El Segundo, CA

This position will be in support of retrieving charts for the HEDIS Medical Record Review (MRR) annual project. The HEDIS Coordinator will work directly with HEDIS MRR Program Manager, the Administrative Leads and assigned MRR Reviewers to coordinate the detailed work of the reviewers as part of the overall process.

  • Call provider offices & hospitals to request medical records. Call members to identify date & provider of HEDIS service
  • Record progress, data entry in abstraction tool (Inovalon QSHR software)
  • Coordinate with Administrative Lead and Medical record reviewers to manage caseload
  • Communicate with BSC MRR Team to effectively manage project assignment
  • Will work as a member of a team to coordinate and maintain a system to organize the medical records and other materials/resources which are required for the overall MRR processes to work and flow effectively
  • Make follow-up calls regarding expected charts, provide information to offices
  • Monitor RightFax, email inbox, SFTP, scan medical records, send fax requests to providers, prepare and sort received mail
  • Research provider information and claims information using online websites/internal applications
  • Daily use of Microsoft Excel to manage various projects and report to leads on progress and barriers
  • Perseverance to find the correct information to retrieve the medical record
  • Other duties as assigned, including possible minimal traveling

Nora Kawaguchi
Recruiting Coordinator

As a South Carolina native, Nora always allows her southern hospitality to shine through all of her encounters. She brings a passion for building meaningful relationships and an enthusiastic personality to the Wollborg Michelson Recruiting team! Nora has a unique background in the performing arts, administrative/ HR support and teaching English in a foreign country. She could be described as adventurous, motivated and a great listener. Nora believes that a smile and positivity go a long way and making a difference in the lives of others is where she truly thrives! 

In her “off” time, Nora is the Sacramento region youth dance coordinator for an international organization that promotes world peace. When she’s not teaching, she is dancing on a semi-pro Latin dance team. Let’s just say that Nora really LOVES to dance! 

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