Medical Records Specialist

Job Description

As a Medical Records Specialist, you will be responsible for processing and managing medical claims, ensuring accuracy and compliance with healthcare regulations. You will work closely with healthcare providers and patients, managing the claims process from start to finish.

Responsibilities

• Ensure compliance with relevant healthcare regulations and policies.
• Evaluate and verify information submitted by claimants.
• Identify discrepancies in claims and communicate findings promptly.
• Work closely with patients and providers to resolve claim disputes.
• Participate in department meetings to discuss improvement strategies.

Requirements

Education

• Certificate or diploma in Medical Billing and Coding, Health Information Management or related field.
• An Associate or Bachelor's Degree in Healthcare Administration or related field is preferred.

Experience

• Experience with Medicare and Medicaid regulations preferred.

Technical Skills

• Data Entry

Soft Skills

• Problem Solving
• Customer Focus

Certifications

• Certified Medical Coder (CMC)

Languages

• English: Fluent

Advantageous

• Experience in customer service roles.: Strong background in managing customer inquiries and complaints.

Benefits

• Comprehensive health, dental, and vision plans
• Employee wellness programs
• Paid time off and holidays
• Opportunities for advancement within the company

Company Culture

• Diversity and Inclusion: We celebrate diversity and strive for inclusivity in our workplace, welcoming individuals from all backgrounds.
• Supportive Environment: Our team is dedicated to helping each other achieve personal and professional goals.