Job Description
Job Description
Overview
The Medical Records Specialist will be responsible for receiving and processing medical records requests for all Amerita locations. Under the supervision of the Director of RCM Credit Balances, the Medical Records Specialist will also perform quality assurance checks of all medical documentation before submission and notifies respective parties.
Mon - Fri 7:00am - 3:30pm Mountain Time - Centennial facility.
Responsibilities
- Ensures daily goals for cash collections, credit balances, accounts payable, and other departmental goals as outlined
- Adheres to all applicable state and federal regulations and company policies
- Processes all incoming medical records requests and coordinates approval with PharMerica’s legal team
- Compiles medical documentation and records responses in CPR+
- Prepares outgoing medical record packets and tracks payer receipt
- Identifies issues and trends to management
- Maintains CPR+ Document Management System to include scanning and attaching documents
- Coordinates established performance metrics for the Medical Records Specialist
- Serves as backup for the Correspondence Specialist and Reimbursement Support Specialist during times of absence
- Monitors fax queue and answers and routes phones
Qualifications
- High School Diploma or GED; some college desired
- One year of experience in medical collections and automated billing systems; CPR+ and Zirmed preferred
- Knowledge of Managed Care, Commercial Insurance, Medicare and Medicaid Reimbursement; Home Infusion experience is a plus
- Strong communication, time management, and customer service skills
- Familiarity with Microsoft Office