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Urgent! Bus Ops Spclst Job Opening In USA, USA – Now Hiring The Judge Group
RADV Outreach Specialist – Contract Role
Hourly Rate: $23
Start Date: August 18
Hours: Monday - Friday (40 hours/week between 7AM-5:30PM CST)
Overview:
Join a high-impact team as a RADV Outreach Specialist, where your work drives accurate, timely medical record retrieval and submission for CMS compliance.
This contract role is ideal for detail-oriented professionals experienced in data management, medical record auditing, and provider communication.
Responsibilities
Outreach & Retrieval
Perform targeted outreach to providers/facilities that are unresponsive or unwilling to participate
Request medical records within program timeframes to meet client and CMS SLAs
RADV Operations
Resolve Provider Non-Participation (PNP) cases
Create and manage provider RADV packets for medical record and attestation retrieval
Intake and audit images before coding
Upload medical record images for CMS submissions
Platform Management
Navigate and work across multiple data platforms simultaneously
QA chart request packages before dispatching to provider offices
Medical Record QA
Review returned medical records to identify errors vs.
acceptable submissions
Conduct duplicate record identification
Ensure all administrative criteria are met prior to submission
CMS Submissions
Upload submission packages to CMS portal for each audited member HCC
Escalate records that fail to meet content standards
Production & Prioritization
Achieve daily and weekly production goals
Manage competing priorities across multiple projects per week
Qualifications
Prior experience with RADV processes or medical record retrieval preferred
Strong attention to detail and quality assurance mindset
Ability to multitask effectively across platforms and projects
Excellent communication and organizational skills
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Unlock Your Bus Ops Potential: Insight & Career Growth Guide
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Great news! The Judge Group is currently hiring and seeking a Bus Ops Spclst to join their team. Feel free to download the job details.
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