Assembly™ Health delivers revenue cycle management and back-office solutions to support quality care.
Behavioral Health Medical Records Specialist
Location
United States
Posted
13 days ago
Salary
$20 - $26 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Behavioral Health Medical Records Specialist
Assembly Health
Role Description Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. - Medical Records Preparation: - Collect, organize, and prepare medical records and related documentation required for insurance claim review. - Ensure that all records are complete, accurate, and compliant with insurance requirements. - Claims Submission Support: - Work closely with billing specialists and AR specialists to submit medical records and documentation as part of the insurance claims process. - Documentation Review: - Verify the accuracy and completeness of all documentation before submission to third-party payers. - Identify and address any missing information or discrepancies. - Coordination with Providers: - Liaise with healthcare providers and internal departments to obtain additional information or clarification on medical records as needed for medical record submissions. - Compliance: - Ensure that all medical records and documentation submitted to third-party payers comply with HIPAA, payer-specific guidelines, and other regulatory requirements. - Follow-Up: - Track the follow up on the status of submitted claims provided by AR specialists. - Ensure that any requests for additional documentation from insurance companies are addressed promptly. - Verify and properly document confirmation of receipt of submitted medical records facilitating the next phase of follow up. - Communication: - Maintain clear and effective communication with Leadership, billing and collections staff, insurance companies, and healthcare providers regarding the status of claims issues related to documentation. - Record Management: - Maintain organized and secure records of all documentation submitted to insurance companies. - Ensure that these records are accessible for audits or reviews. - Reporting: - Generate reports on the status of medical records submissions, including any delays, denials, or issues related to medical records. - Provide these reports to the Payer relations manager and the Director of Revenue Cycle Management. - Training and Support: - Assist and provide guidance and training to billing staff on the proper documentation and submission procedures required for successful claims processing involving medical records submissions as needed. - Assist and provide guidance and training to AR specialists on the proper follow up procedures required for successful processing of claims involved in the medical record process. - Process Improvement: - Identify areas for improvement in the medical records submission process. - Work with the Leadership team to implement best practices and enhance efficiency. - Execute additional duties as assigned, demonstrating diligence and meticulous attention to detail. Qualifications - Associate’s degree in health information management, Medical Billing, or a related field is preferred. - Minimum of two to four years of experience in medical records management, billing, or a related role, with a focus on third-party billing and insurance claims submission. - Strong understanding of medical records documentation, insurance billing processes, and regulatory compliance, including HIPAA. - Excellent organizational, communication, and problem-solving skills, with attention to detail and the ability to manage multiple tasks simultaneously. - Proficiency in electronic health records (EHR) systems and billing software. - Ability to function well in a fast-paced and at times stressful environment. - Prolonged periods of sitting at a desk and working at a computer. - Ability to lift and carry items weighing up to 10 pounds at times. Benefits - Be part of something special! We are growing both organically and through acquisitions. - Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way! - Ongoing training and development programs. - An environment that values transparency. - This is a full-time, non-exempt position reporting to the Payer Relations Manager. - The compensation range for this position is $20 - $26 per hour. - Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. - The expected salary range for this position reflects these considerations and may vary accordingly. - In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. - We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.
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