Behavioral Health Medical Records Specialist

<div class="content-intro"><p>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.</p></div><p> </p> <div class="inner-section"> <div class="margin-bottom margin-small"> <h3>What you'll do</h3> </div> <div class="w-richtext"> <ul> <li><strong>Medical Records Preparation:</strong> 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.</li> <li><strong>Claims Submission Support: </strong>Work closely with billing specialists and AR specialists to submit medical records and documentation as part of the insurance claims process.</li> <li><strong>Documentation Review: </strong>Verify the accuracy and completeness of all documentation before submission to third-party payers, identifying and addressing any missing information or discrepancies.</li> <li><strong>Coordination with Providers: </strong>Liaise with healthcare providers and internal departments to obtain additional information or clarification on medical records as needed for medical record submissions.</li> <li><strong>Compliance:</strong> Ensure that all medical records and documentation submitted to third-party payers comply with HIPAA, payer-specific guidelines, and other regulatory requirements.</li> <li><strong>Follow-Up:</strong> Track the follow up on the status of submitted claims provided by AR specialists, ensuring 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.</li> <li><strong>Communication:</strong> 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.</li> <li><strong>Record Management:</strong> Maintain organized and secure records of all documentation submitted to insurance companies, ensuring that these records are accessible for audits or reviews.</li> <li><strong>Reporting:</strong> Generate reports on the status of medical records submissions, including any delays, denials, or issues related to medical records, and provide these reports to the Payer relations manager and the Director of Revenue Cycle Management.</li> <li><strong>Training and Support: </strong>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</li> <li><strong>Process Improvement: </strong>Identify areas for improvement in the medical records submission process and work with the Leadership team to implement best practices and enhance efficiency.</li> <li>Execute additional duties as assigned, demonstrating diligence and meticulous attention to detail.</li> </ul> </div> </div> <div class="inner-section"> <div class="margin-bottom margin-small"> <h3>What we're looking for</h3> </div> <div class="w-richtext"> <ul> <li>Associate’s degree in health information management, Medical Billing, or a related field is preferred.</li> <li>Minimum of two to four of experience in medical records management, billing, or a related role, with a focus on third-party billing and insurance claims submission.</li> <li>Strong understanding of medical records documentation, insurance billing processes, and regulatory compliance, includ ... (truncated, view full listing at source)