Clinical Data Administrator
6 days ago
C I D Pa is seeking a detail-oriented and resourceful individual to join our team as a Medical Records Clerk and Prior Authorization Specialist. This position plays a critical role in maintaining accurate and confidential patient records, as well as facilitating insurance pre-authorizations.
Key Responsibilities- Record Management: Organize, file, and maintain patient medical records in a secure and organized manner.
- Information Verification: Ensure the accuracy and completeness of patient information, including demographics, medical history, test results, and treatment plans.
- Record Retrieval: Retrieve and prepare patient charts for healthcare providers and staff in a timely manner.
- Document Scanning: Assist with the scanning and indexing of paper documents into the electronic medical records (EMR) system.
- Record Auditing: Perform regular audits to identify and correct any inconsistencies or errors in patient records.
- Collaboration: Collaborate with healthcare professionals and staff to maintain accurate and up-to-date records.
- Insurance Verification: Assist with insurance verification, pre-authorization, and referral processes as needed.
- Pre-Authorization: Communicate with insurance carriers and healthcare providers to ensure timely and accurate pre-authorizations for medical procedures and treatments.
- Compliance: Ensure compliance with HIPAA regulations and maintain the confidentiality and security of patient information.
- Administrative Support: Assist with administrative tasks, such as data entry, correspondence, and scheduling appointments as needed.
- Education: High school diploma or equivalent.
- Experience: Previous experience as a medical records clerk, prior authorization specialist, or in a similar role is preferred.
- Knowledge: Familiarity with medical terminology, diagnoses, and procedures.
- Skills: Strong attention to detail and organizational skills.
- Knowledge: Knowledge of HIPAA regulations and maintaining patient confidentiality.
- Technical Skills: Proficiency in using computer systems and software, including electronic medical records (EMR) and Microsoft Office.
- Interpersonal Skills: Excellent communication and interpersonal skills.
- Work Environment: Ability to work independently and collaboratively in a team environment.
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Clinical Office Manager
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Client Service Scheduler
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