Remote Medical Records Triage & Quality Specialist

OpsArmy; Manila; Remote; PHP 1,588,000 - 2,205,000; Full time

Job summary

OpsArmy is seeking a detail-oriented Medical Records Triage Specialist to support a medical records workflow. This remote role acts as the initial quality-control point, reviewing HIPAA authorizations and preparing documentation before cases move forward.

The ideal candidate will read and interpret legal and medical documents with high accuracy, identify discrepancies, and follow established procedures while overlapping U.S. Eastern Time business hours.

Qualifications

• Excellent written English with strong attention to detail.
• Ability to read and understand legal and medical documents.
• High level of accuracy when reviewing and comparing information.
• Strong organizational and follow-up skills.
• Ability to identify discrepancies and missing information.
• Ability to work independently and follow established procedures.
• Comfortable working with digital documents and document-editing tools.
• Availability to work a schedule that overlaps with U.S. Eastern Time business hours.

Responsibilities

• Review HIPAA Authorizations: Verify signatures, patient information, dates of birth, dates of service, and other required details.
• Cross-Check Case Details: Compare authorization information against internal records and identify discrepancies in names, dates of birth, or other case details.
• Prepare Documents: Transfer required information into authorization templates using Adobe Acrobat or similar document-editing tools.
• Perform Quality Checks: Review completed files for accuracy, completeness, formatting issues, and other potential reasons for rejection.
• Identify and Resolve Defects: Flag missing or invalid information, create clear follow-up tasks, and place cases on hold until required corrections are completed.
• Follow Up and Escalate: Monitor pending cases and escalated urgent or delayed items with clear, specific information.
• Maintain Accurate Records: Document decisions, updates, and case status so information is clear and accessible to other team members.

Skills

Excellent written English

Organizational skills

Legal/medical document reading

Independent work

Digital document editing

Tools

Adobe Acrobat

Job description

OpsArmy is seeking a detail-oriented Medical Records Triage Specialist to support a medical records workflow. This remote role acts as the initial quality-control point, reviewing HIPAA authorizations and preparing documentation before cases move forward.

The ideal candidate will read and interpret legal and medical documents with high accuracy, identify discrepancies, and follow established procedures while overlapping U.S. Eastern Time business hours.