Smarter Technologies · 14 hours ago
Clinical Data Retrieval Analyst
Smartertechnologies is seeking a detail-oriented Clinical Data Retrieval Analyst responsible for executing critical medical record chart retrieval activities. The role focuses on ensuring stakeholders have access to the right clinical data to support risk adjustment and payment integrity functions.
Artificial Intelligence (AI)Health CareSoftware
Responsibilities
Manage a daily queue of chart requests that require logging into EHR (Electronic Health Record) systems and retrieving the necessary clinical information requested from the stakeholder team
Ensure that retrieved documents are of high quality, include necessary meta-data, and are readily available for teams to leverage in support of our members
Support the manager and internal teams in additional tasks that may include, but are not limited to, requesting EHR access for other team members, managing disenrollments from EHRs, tracking progress toward completion goals
Maintain professionalism and respect the privacy of the individuals in the requests. This role has direct access to PHI and therefore must be diligent in maintaining the confidentiality of the members following HIPAA guidelines
Perform other duties as assigned
Qualification
Required
High school diploma or equivalent
General understanding of the U.S. healthcare system and/or a strong willingness to learn
Detail oriented and motivated to complete tasks with precision and on time
Inquisitive mindset: not afraid to ask questions and/or clarify instructions, especially the 'why'
1+ years of experience in healthcare administration, eligibility verification, or a related field
Strong knowledge of Medicaid eligibility rules and regulations in Texas
Proficiency in navigating state Medicaid eligibility portals (Texas Medicaid Client Portal, TexMed Connect)
Experience with healthcare data systems (e.g., Orinoco, Change Healthcare)
Preferred
Associate's or Bachelor's degree