Chart Retrieval Specialist

Capital Bluecross - Harrisburg, PA

Full-time - Entry Level

Remote - Harrisburg, PA

Funds, Trusts, and Other Financial Vehicles

About the position

The Chart Retrieval Specialist plays a crucial role in supporting Capital Blue Cross's Medicare Advantage and Commercial Risk Adjustment Program. This position is responsible for the day-to-day activities of chart retrieval, including retrieving, scanning, and uploading medical records from healthcare facilities, processing incoming provider correspondence, and ensuring timely completion of chart retrieval efforts. The specialist will collaborate closely with the Risk Adjustment Program Manager and various departments to achieve project goals and maintain high service levels for both internal and external customers.

Responsibilities

• Coordinate appointments with target healthcare facilities for on-site chart retrieval activities.
• Scan, upload, and document received medical records using Capital's equipment.
• Sort incoming mail and prepare documents for scanning and retrieval.
• Review medical records to ensure completeness before referral to the coding team.
• Reconcile record receipts for provider organizations and follow up on outstanding medical records.
• Communicate professionally with provider offices regarding expectations and deadlines.
• Analyze provider office communications to determine additional outreach needs.
• Maintain up-to-date daily and weekly production logs.
• Provide high-level service to both external and internal customers.
• Operate office equipment and handle routine upkeep tasks.
• Contribute ideas for unit success and participate in special projects as assigned.

Requirements

• Strong sense of urgency and due diligence.
• Excellent verbal communication and interpersonal skills.
• Proven success in building and maintaining positive relationships.
• Strong organization and documentation skills with attention to detail.
• Ability to think analytically and resolve issues creatively.
• Basic to moderate proficiency in Microsoft Office applications.
• Ability to exercise discretion in handling confidential information.
• 1-3 years' experience in an operations environment.
• Experience with handling or processing medical records preferred.

Nice-to-haves

• Knowledge of Medicare ACA Risk Adjustment and Government programs.
• Prior CMS/HHS risk adjustment experience.
• Experience with data entry into MS Access and MS Excel.

Benefits

• Medical, Dental & Vision coverage
• Retirement Plan
• Generous Paid Time Off
• Holidays
• Volunteer time off
• Incentive Plan
• Tuition Reimbursement