Billing Specialist

2 months ago

Alpharetta, United States SPCPSoutheast Medical Group Full time
Job DescriptionJob DescriptionDescription:

The Medical Records Specialist is responsible for processing all release of information (ROI) specifically medical record requests in a timely and efficient manner ensuring accuracy and providing patients and provider’s office with the highest quality customer service. The clerk must safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.


This position is required to be in-office 5 days per week (M-F).

Requirements:

Duties and Responsibilities:

  • Receives incoming requests for information and responds to requests by opening mail, and telephone inquiries and retrieving fax inquiries in a timely manner.
  • Date stamps all requests and highlights pertinent data to facilitate processing.
  • Validates requests and authorizations for release of medical information according to established procedures and HIPAA guidelines.
  • Completes release of information requests including retrieving patient’s medical charts and copying/scanning medical records accurately and correctly, according to requests, established procedures, and established standards of quality and productivity; and electronically transmits medical record to processing operations.
  • Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
  • Maintains equipment in excellent operating condition (inside and out) and troubleshoot equipment issues with assistance from the Help Desk department.
  • Provides excellent customer service by being attentive, respectful, and professional at all times; insures understanding of customer request and follows-through as promised; being proactive in identifying and addressing member concerns, or problems.
  • Demonstrates helpful and effective telephone etiquette and customer service skills by providing appropriate information to callers.
  • Maintains a neat, clean, and professional personal appearance and observes the dress code established by the Company.
  • Maintains a clean and orderly work area, ensures that records and files are properly stored before leaving area, and ensures adequate supplies to meet customer requests.
  • Maintains working knowledge of the current state laws regarding fee structure, and HIPAA regulations as well as facility policies and procedures regarding release of information.
  • Ability to maintain regular attendance and punctuality as scheduled. Notifies Manager/Director if unable to adhere to daily schedule.
  • Adheres to all Company time and attendance policies or applicable law covering meal breaks and rest periods. Records all accurate work hours in the Company’s designated time keeping system daily and adheres to the Company’s overtime policy and procedures for requesting time off or change in schedule.
  • Attends and participates in required educational training sessions and staff meetings as scheduled and assigned.
  • Ability to adapt to change and respond to difficult and challenging situations in a professional manner.
  • Accepts new assignments willingly to meet business needs.
  • Communicates with Manager/Director on an on-going basis, providing information and data as requested including member’s changing needs and requests.
  • Promptly reports to Manager/Director any customer service concerns and/or any potential HIPAA violations whether actual or perceived.
  • Informs Manager of site or work difficulties, special project requests from facility, and fluctuating volume in daily workload.
  • Ability to utilize a computer accurately and efficiently for data input, retrieval of data and all other tasks associated with release of information services and time reporting.
  • Ability to work with minimum supervision, organize workload and prioritize work tasks to meet production goals.
  • Ability to recognize emergency situations within context of job duties and communicate potential issues to Manager/Director.
  • Maintains knowledge of safety procedures to ensuring a safe work environment and reports safety concerns to Manager/Director

Physical & Mental Requirements: (check all that apply)

  • Ability to lift up to 50 pounds
  • Ability to push or pull heavy objects using up to 50 pounds of force
  • Ability to sit for extended periods of time
  • Ability to stand for extended periods of time
  • Ability to use fine motor skills to operate office equipment and/or machinery
  • Ability to receive and comprehend instructions verbally and/or in writing
  • Ability to use logical reasoning for simple and complex problem solving
  • Ability to travel to multiple locations to support business needs as required

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