Job Title: Reimbursement Specialist / Medical Records Processor
Location: Remote, Hybrid, or Onsite Options Available
Shift: Monday - Friday, 9:00 AM - 6:00 PM PST
Job Overview
As a pivotal member of our team, the Reimbursement Specialist / Medical Records Processor will significantly contribute to the operational and financial success of our healthcare services. You will collaborate closely with healthcare professionals, hospital staff, and various internal departments to facilitate the prompt and precise processing of medical records for reimbursement purposes. Your efforts will directly enhance our billing operations and support our mission of excellence in healthcare delivery.
Key Responsibilities
- Deliver outstanding customer service by actively engaging with clients, ensuring a thorough understanding of their inquiries, and addressing their concerns with professionalism.
- Collaborate with physicians, nursing staff, and medical personnel to collect and verify accurate clinical documentation essential for reimbursement.
- Analyze and process clinical and financial data from multiple channels, including electronic correspondence and traditional mail.
- Manage both electronic and manual requests, guaranteeing the precision of all processed information.
- Conduct meticulous quality checks to confirm the accuracy of patient data, service dates, and compliance with confidentiality standards.
- Uphold HIPAA regulations by validating requests and authorizations for the release of medical information among healthcare providers, insurance companies, and patients.
- Engage collaboratively in team settings to achieve departmental objectives and assist with any information backlogs as needed.
- Review documentation to determine its validity for upload, replacement, or deletion per current protocols.
- Utilize computer systems to input data, retrieve information, generate reports, and fulfill all tasks associated with the release of information.
- Participate in required training and team meetings to support ongoing professional development.
- Ensure office equipment remains operational and troubleshoot any technical issues with the Help Desk team.
- Perform additional duties as directed to fulfill the department’s needs.
Required Skills
- High school diploma or equivalent.
- Minimum of one year of relevant experience in medical records, release of information, or similar healthcare roles, preferably in a high-volume or multi-account context.
- Experience with insurance denials, reconsideration requests, appeals, and negotiations is advantageous.
- Strong proficiency in computer software, technology, and data entry, with excellent typing skills.
- Intermediate to advanced knowledge of MS Office, particularly Excel.
- Familiarity with laboratory billing systems and payer portals is a valuable asset.
- Ability to work collaboratively and professionally within a team environment, engaging effectively with clients, management, and colleagues.
- Willingness to travel to various company locations as required.
Career Growth Opportunities
We offer robust opportunities for professional development, including participation in training sessions that promote skill enhancement. Employees are encouraged to pursue career advancement within our organization while contributing to our mission of delivering exceptional healthcare services.
Join us in making a difference in the healthcare industry and enhancing the quality of patient care through meticulous management of medical records and reimbursement processes.
Employment Type: Full-Time