16 days old

Lead Data Abstractor

Keystone Peer Review Organization, Inc.
Harrisburg, PA 17101
  • Job Code
    LEADD02277-00001



KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting.KEPRO is seeking resumes for a highly experienced professional.



Accountabilities



  • Assists Supervisor with monitoring and directing of daily workload of Abstraction area, ensuring performance standards are met. Makes adjustments to workload as needed

  • Supports supervisor and management team with various projects and assignments.

  • Monitors calls to observe employee demeanor, technical accuracy, and conformity to company policies.

  • Resolves issues and addresses customer questions and or complaints.

  • Trains all new staff on Medical Review and Data abstraction as needed.

  • Identifies continuous learning needs and develops and implements plans to address identified learning needs.

  • Responsible for the monitoring and all aspects of the Abstraction process.

  • Resolves escalated issues and addresses customer complaints.

  • Enter all relevant data into appropriate systems; maintains timely data entry throughout entire Abstraction Process.

  • Subject Matter Expert for all Abstraction types and their various processes.

  • Performs other duties as assigned by TRICARE Operations Supervisor.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.



Qualifications



  • High School diploma or equivalent required.

  • Medical terminology and/or transcription certification or coursework strongly preferred.

Knowledge, Skills, Abilities



  • Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; works well in group problem solving situations; maintains a calm demeanor in difficult situations.

  • Responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.

  • Speaks clearly and persuasively in a variety of situations under varying circumstances; listens and obtains clarification.

  • Excellent interpersonal skills essential. Flexibility to work with a diverse group of personnel of all levels with tact and diplomacy.

  • Advanced organizational skills required.

  • Ability to handle multiple priorities. Deadline oriented.

  • Contributes to building a positive team spirit.

  • Knowledge of Microsoft software applications (Word, Excel, PowerPoint, Access).

Experience



  • Three years prior demonstrated abstraction experience in a healthcare or insurance environment. Directly related or relevant transferable skills may be considered for this position.

  • Experience preparing cases for medical review, medical terminology and quality assurance practices preferred.

  • Previous workload management experience strongly preferred.

Mental and Physical Requirements



The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 25 pounds; and occasionally travel within the state.



KEPRO offers challenging careers, excellent benefits and opportunities for advancement. For consideration, please submit resume and cover letter with salary requirements.Only those candidates identified for an interview will be contacted.No Phone Calls Please.Visit our website at www.KEPRO.com for more information on the KEPRO Family of Companies.



EOE AA M/F/Vet/Disability



KEPRO is an E-Verify employer. E-Verify is an internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States.



Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities



The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information.



See job description





Posted: 2019-10-31 Expires: 2019-11-29
Sponsored by:
Farm Credit Services of America Logo
Sponsored by:
Bank of America Logo

Featured Jobs[ View All ]

Featured Employers

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Lead Data Abstractor

Keystone Peer Review Organization, Inc.
Harrisburg, PA 17101

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast