Medical Records Support

The Health Plan of West Virginia Inc; Wheeling (WV); On-site; USD 28,000 - 36,000; Full time

Job summary

The Health Plan of West Virginia Inc. is seeking a Medical Records Support in Wheeling, WV. The role involves managing requests for member information, entering data into tracking systems, and ensuring timely, accurate handling of records in a compliant environment.

You will maintain confidentiality, adhere to HIPAA requirements, and support audits with precise record keeping. Proficiency in medical terminology and records software is preferred.

Qualifications

• High school diploma or equivalent is required.
• Proficient clerical skills with typing and filing.
• Ability to handle confidential information with discretion.
• Strong HIPAA knowledge and compliance with regulations.
• Attention to detail and excellent time management.
• Experience with medical terminology and records processes.

Responsibilities

• Process requests for release of member information promptly.
• Enter requests into a shared database for tracking.
• Request records by fax, phone, or vendor with turnaround times.
• Follow up to ensure timeliness for audits.
• Manage fax queues and download records to proper areas.
• Maintain correct file naming conventions.
• Reconcile invoices for copying services.
• Attach invoices to Accounts Payable as directed.
• Adhere to policies and procedures for records management.
• Assist in gathering data and preparing reports.
• Ensure records remain confidential and accessible.
• Notify Provider Delivery Services for non-responsive providers.

Skills

Typing

Filing

HIPAA

Organization

Communication

Medical Terminology

Education

High school diploma or equivalent

Tools

Medical records software

Job description

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

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