Medical Records Specialist

Us-Pa-Conshohockenmid

Medical Records SpecialistHealthcare Non-Clinical

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Quick Summary

Key Responsibilities

Responds to medical record requests from insurance carriers at varying stages of claim processing as an integral part of recognizing the maximum reimbursement from each claim.

Requirements Summary

High school diploma or GED equivalent required. 1-2 years of medical collections/medical office experience. Intermediate level of expertise using Microsoft Office Suite (Outlook, Excel, Word,

Technical Tools

Medical Records SpecialistHealthcare Non-Clinical

Responsibilities

~1 min read

→Understand and comply with all governmental, regulatory, company billing/AR and compliance regulations/policies assigned by payers.
→Analyze EOBs and correspondence to construct medical record packages that accurately respond to request/claim adjudication.
→Identify and communicate specific payer information, issues, and/or trends to appropriate parties/departments.
→Follow up and complete tasks on pending accounts in a timely manner.
→Address denials and zero payments to identify and provide any requested documentation required to process the claim or refer to billing for claim corrections.
→Use of office equipment and software applications to facilitate finalization of claim

Requirements

~1 min read

High school diploma or GED equivalent required.

1-2 years of medical collections/medical office experience.
Intermediate level of expertise using Microsoft Office Suite (Outlook, Excel, Word, Teams) and PDF software (NitroPro)
Familiarity with insurance payer rules and regulations
Ability to affectively multi-task
Strong comprehensive and analytical skills
Effective verbal and written communication skills including professional phone skills
Detail-oriented
Able to function as a cooperative team member with a positive attitude.
Must have ability to work independently with minimal supervision and maintain confidentiality.