Clinical Data Specialist

4 weeks ago


Rockford, Illinois, United States Hines & Associates Inc Full time
Job Title: Clinical Data Specialist
Job Summary:

This role involves performing various tasks related to the certification process, including data acquisition, review of service requirements, and file maintenance. The successful candidate will work under the supervision of a licensed registered nurse and will be responsible for performing scripted clinical screening that does not require evaluation or interpretation of clinical information.


Key Responsibilities:
  1. Makes outgoing calls to hospitals to determine patient status, request discharge dates, and disposition.
  2. Sends faxes to hospitals with requests for clinical reviews and discharge needs.
  3. Monitors and attaches faxes on the fax server as assigned.
  4. Transfers messages and clinical reviews from voice mails into the UR system.
  5. Performs scripted clinical screening as assigned, following the Policy and Procedure for Scripted Clinical Screening.
  6. Verifies provider network status and clarifies incomplete or contradictory non-clinical data.
  7. Notifies providers of certification and reads the disclaimer.
  8. Communicates with MD offices, hospital medical records, and UR departments as needed.
  9. Documents all activities in the UR file according to procedure.

Requirements:

EDUCATION: High School Diploma or equivalent with some post-secondary education desirable. Courses in medical terminology preferred.

SKILLS: Knowledge of computers, fluent keyboarding, data entry in databases, word processing, and multiple line telephone systems. Bi-lingual helpful but not required.

EXPERIENCE: Experience in the healthcare industry, such as medical transcription. Successful completion of the URA orientation program and maintenance of minimal QA standards. 1-2 years experience or relevant education in the healthcare industry.

PERSONAL QUALIFICATIONS: Helpful and friendly telephone personality. Ability to proof written material accurately, accurate data entry ability. Ability to organize a large variety of tasks and prioritize as directed by UR Manager. Ability to work with a variety of professional staff and provide clerical backup as needed for that staff. Understanding of customer service.



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