Health Information Specialist

3 weeks ago

Mission Viejo, United States Pacific Neuropsychiatric Specialists Inc Full time
Job DescriptionJob DescriptionBenefits:
  • Dental insurance
  • Health insurance
  • Paid time off

We are seeking a motivated and like-minded Health Information Specialist. This is a full-time, in-office position. The Health Information Specialist will manage and maintain the accuracy, security, and privacy of electronic, and paper-based, medical records, manage data quality, and ensure compliance with legal and industry standards. This person will also be responsible for helping with our prior authorizations department by discussing medications, insurance, and prior authorization documents with patients, getting prior authorization approval from insurance companies, filing appeals, and ensuring completeness and accuracy on all prior authorizations.

Required Skills and Qualifications:


  • Previous experience working in a medical/psychiatric facility is preferred.
  • Excellent communication skills, both written and oral.
  • Proficient telephone and computer skills.
  • Must be able to prioritize multiple tasks at once, and deal with high stress levels in an environment of changing priorities.
  • Must be able to interact with all levels of staffing professionally.
  • Medical Records and Prior Authorization experience preferred, but not required.

Medical Records:


  • Collects and ensures medical records are assembled in standard order and are accurate and complete.
  • Ensures files are stored in the designated area according to stored procedures.
  • Maintains administrative data and the integrity of the medical records.
  • Responsible for completing all chart audit requests and managing subpoenas related to medical records.
  • Performs other clerical tasks as needed, such as answering phones, faxing, and corresponding with outside vendors.
  • Assists other members of the department as needed.

Prior Authorizations


  • Receive requests for prior authorizations and ensure that they are properly and closely monitored within company-set standards.
  • Review the accuracy and completeness of the information requested and ensure that all supporting documents are present.
  • Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is completed.
  • Collaborate with other departments to assist in obtaining prior authorizations/appeals.
  • Document all interactions with insurance companies within the EMR system.
  • Proactively work on prior authorizations that are due to expire.
  • Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership.
  • Other duties as assigned.

Preferred Experience:


  • 1-2 years of medical record experience preferred.
  • Experience navigating EMR systems
  • HIPAA compliance

Compensation and Benefits:
  • PNS offers a competitive compensation package including; medical, dental, and paid time off.
  • Hourly rate based on skill, experience, and tenure of your profession.



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