Medical Records Support

Health Plan; West Virginia; Vor Ort; USD 32.000 - 42.000; Vollzeit

Zusammenfassung

Health Plan is seeking a Medical Records Support specialist in Wheeling, WV, to handle release requests, filing, and data entry for member information. You will maintain secure records, ensure regulatory compliance, and support audits with timely responses.

Ideal candidates possess a high school diploma, strong organizational and typing skills, and experience with medical terminology and EHR systems. Attention to detail and discretion are essential for success in this role.

Qualifikationen

• High school diploma or equivalent is required.
• Ability to handle sensitive information with discretion.
• Familiarity with HIPAA and other health information regulations.
• Excellent attention to detail and accuracy.
• Ability to manage multiple tasks and deadlines.
• Experience with medical terminology.
• Proficiency in medical records processes and filing.

Aufgaben

• Process requests for release of member information in a timely manner.
• Enter medical record requests into shared database for tracking.
• Request medical records by fax, telephone, or vendor with appropriate turnaround times.
• Follow up on requests for audits and regulatory oversight.
• Manage fax queues and download medical records to appropriate areas.
• Adhere to file naming conventions for medical records.
• Reconcile invoices and attach to Accounts Payable folders.
• Adhere to policies and procedures for medical record management.
• Assist with gathering data and preparing medical record reports.
• Ensure confidentiality and accessibility of each member's record.
• Notify Provider Delivery Services Department when providers are non-responsive.

Kenntnisse

Organizational skills

Clerical skills

Typing

Filing

HIPAA compliance

Communication skills

Time management

Medical terminology

Knowledge of medical records systems

Ausbildung

High school diploma or equivalent

Tools

Electronic health records (EHR) systems

Jobbeschreibung

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Medical Records Support

Quality Improvement Full Time Clerical Wheeling, WV, US

7 days ago Requisition ID: 1620

Under the supervision of the Manager, Medical Records is responsible for requesting, filing and maintaining, and submitting accurate medical records and member requested information while ensuring compliance and timeliness with all relevant standards and regulations.

Required:

• High school diploma or equivalent.
• Demonstration of proficient organizational skills and clerical skills with typing and filing.
• Ability to maintain sensitive information with discretion and professionalism.
• Strong knowledge with HIPAA compliance and other relevant laws/regulations.
• Strong communication skills with attention to detail and accuracy.
• Excellent time management skills with the ability to adapt quickly to changing priorities to meet deadlines.
• Proficiency in medical records systems and record keeping.
• Experience in medical records and medical terminology.

Responsibilities:

• Processes requests for release of member information or requests to obtain member information in a timely manner
• Enters medical record requests into a shared data base for tracking and trending
• Requests medical records by fax, telephone, or third party vendor with applicable turnaround times dependent upon the reason for the request
• Follows up on medical record requests to assure timeliness of requests for audits and regulatory oversight
• Works fax queues to and copying service queues and downloads medical records to appropriate areas
• Adheres to correct file naming conventions for medical records
• Reconciles copying service invoices as directed
• Attaches invoices to Accounts Payable folders as directed who are maintaining, requesting and submitting accurate medical records while ensuring compliance and timeliness
• Processes requests for release of member information or requests to obtain member information in a timely manner
• Adheres to policies, procedures and protocols for medical record management
• Assists with gathering data and preparing medical record reports as directed by manager
• Ensures that each member's record is maintained in a confidential and secure manner
• Ensures the accuracy and accessibility of member medical records once received
• Implements communication processes with requestors regarding status of requests via phone, email, fax or through portal access
• Requests, retrieves, files and attaches medical records as outlined in policies and procedures
• Processes other applicable incoming correspondences as needed
• Sends follow up responses to internal staff making the requests as well as to those that have not complied with meeting the request.
• Communicates to manager the need to notifiy the Provider Delivery Services Department to engage with provider offices and facilities that are non-responsive in providing medical records that are being requested