Medical Support Representative II

Ultipro; Chicago (IL); On-site; USD 29,000 - 30,000; Full time

Benefits offered by this job

3-weeks paid vacation

1-week personal time

Sick days

Paid holidays

PTO Exchange

Employer-sponsored health insurance

Dental insurance

Vision insurance

401k with employer match

Life insurance

Disability coverage

Commuter allowance

FSA for healthcare and dependent care

Tuition Reimbursement

Student Loan Forgiveness Programs

Job summary

Howard Brown Health in Chicago, IL is hiring a Medical Services Representative to handle referrals, medical records, and insurance approvals for prescriptions and services. Under supervision, you will enter referrals, collect records, scan documents, and coordinate with providers and referral teams to support timely patient care.

The role emphasizes HIPAA compliance, superior customer service, and accurate data entry.

Qualifications

• Minimum of a High school diploma.
• Experience in customer facing customer service positions.
• Two of the three are required.
• Minimum 1 year of recent Medical records and/or medical data entry required.
• Minimum 1 year of recent Verifying medical insurance.
• Minimum 1 year of recent referral coordination.
• Minimum 1 year of recent experience in CPT 10 and ICD-12 coding.
• Excellent oral and written communication skills.

Responsibilities

• Prepares and maintains medical and behavioral health charts/records, forms, registration materials, and other related documents, including data entry and retrieval in a timely manner and reviews and audits for accuracy in accordance to HIPAA.
• Generates patient referrals to medical specialists as ordered by Primary Care Providers (PCP), using the appropriate channels as dictated by the patient’s health insurance carrier within specific time frames.
• Safeguards confidentiality of the medical and behavioral health charts/records and complies with all local, state, and federal laws pertaining to medical records.
• Participates as a team member with Medical Services staff, attending Medical Services meetings and continuing education in-services and assisting all team members with department duties and needs
• Assists with telephone calls to Medical Services by pulling medical charts/records for patients as needed as well as releases of information and requests for medical records.
• Focuses on customer’s well-being and HIPAA compliance
• Verifies insurance benefits for patients. Upon change of insurance coverage, documents covered benefits on the insurance verification form.
• Participate in agency wide quality assurance and improvement as needed.
• Assists patients in scheduling appointments for referrals when needed.
• Maintains established department procedures, objectives, and quality assurance, safety, environmental, and infection control and suggests corrections or process improvements
• Adheres to HBHC Core Values and Superior Customer Service Expectations.
• Participates in emergency preparedness plan as dictated by the policy and procedures.
• Performs other duties as assigned.
• Must be able to travel sometimes to different locations.

Skills

Customer service

Communication

Attention to detail

Team collaboration

Education

High school diploma

Tools

Medical records software

Medical coding (CPT/ICD-10/ICD-12)

Job description

HBH Sheridan.
4025 N Sheridan Rd
Chicago, IL 60613, USA

Description

Howard Brown Health is a nationally recognized leader in LGBTQ+ health and wellness. Our commitment to inclusive and affirming care has made us a cornerstone of the Chicago community. At Howard Brown, we believe in providing holistic, patient-centered care that empowers individuals and enriches lives.

What is in it for you:

• A commitment to work-life balance with:
  • 3-weeks paid vacation and 1-week of personal time
  • 12 accrued sick days per year
  • 9 paid holidays, including Juneteenth
  • PTO Exchange allows employees to turn unused PTO into liquid assets
• Employer-sponsored health, dental, and vision insurance with two PPO plans and an HMO plan.
  • BCBS HMO, PPO, and PPO Select Plans
  • EyeMed Vision premium
• 401k program with up to 5% employer match after 90 days
• Employer-paid basic life insurance valued at one times the annual salary
• Voluntary Life and AD&D, and Short-term and Long-term disability
• Up to $720 pre-tax commuter and parking benefit account
• Flexible Spending Accounts for healthcare and dependent care
• Tuition Reimbursement and Student Loan Forgiveness Programs; NHSC & PSLF
• Employee Assistance Program with 5 employer-paid counseling sessions
• 50% off at Brown Elephant Resale Shops and discounts at local businesses

Pay: $21.24/hour

SUMMARY:

This is a multi-position role performing the duties of client referrals, medical records and insurance approval of prescription drugs and referrals. Under direction of the Supervisor of Medical Records and Referrals and the Patient Services Manager, the Medical Services Representative provides a variety of services for patients, and visitors including: ensures that all patient referrals and records are entered into the data base on a daily basis; collects patient medical records and personal data, scans and enters data into patient charts, works with providers and medical records and referral teams to process referrals and helps patients schedule outside medical needs. The Medical Services Representative maintains and retains superior customer service behaviors at all times to ensure patient satisfaction.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Prepares and maintains medical and behavioral health charts/records, forms, registration materials, and other related documents, including data entry and retrieval in a timely manner and reviews and audits for accuracy in accordance to HIPAA.
• Generates patient referrals to medical specialists as ordered by Primary Care Providers (PCP), using the appropriate channels as dictated by the patient’s health insurance carrier within specific time frames.
• Safeguards confidentiality of the medical and behavioral health charts/records and complies with all local, state, and federal laws pertaining to medical records. Assures compliance with all HIPAA regulations concerning use, retrieval, storage, and sharing of medical records.
• Participates as a team member with Medical Services staff, attending Medical Services meetings and continuing education in-services and assisting all team members with department duties and needs
• Assists with telephone calls to Medical Services by pulling medical charts/records for patients as needed as well as releases of information and requests for medical records.
• Focuses on customer’s well-being and HIPAA compliance
• Verifies insurance benefits for patients. Upon change of insurance coverage, documents covered benefits on the insurance verification form.
• Participate in agency wide quality assurance and improvement as needed.
• Assists patients in scheduling appointments for referrals when needed.
• Maintains established department procedures, objectives, and quality assurance, safety, environmental, and infection control and suggests corrections or process improvements
• Adheres to HBHC Core Values and Superior Customer Service Expectations.
• Participates in emergency preparedness plan as dictated by the policy and procedures.
• Performs other duties as assigned.
• Must be able to travel sometimes to different locations.

QUALIFICATIONS, KNOWLEDGE, SKILL REQUIRED:

• Minimum of a High school diploma.
• Experience in customer facing customer service positions
• Two of the three are required
• Minimum 1 year of recent Medical records and/or medical data entry required.
• Minimum 1 year of recent Verifying medical insurance
• Minimum 1 year of recent referral coordination
• Minimum 1 year of recent experience in CPT 10 and ICD-12 coding
• Excellent oral and written communication skills.

ADA SPECIFICATIONS

(Physical demands that must be met in order to successfully complete the essential functions of the job)

• Requires ability to speak audibly and listen actively.
• Requires ability to use computers, telephones and other office equipment.
• Requires ability to sit for extended periods of time.
• May require occasional bending and lifting up to 25 pounds.
• May require periodic travel.

EQUAL OPPORTUNITY STATEMENT:
Decisions and criteria governing the employment relationship with all employees at Howard Brown are made in a non-discriminatory manner, without regard to race, color, creed, religion, national origin, sex, marital status, pregnancy, disability, sexual orientation, gender identity, veteran status, age, FMLA status, or any other factor determined to be unlawful by federal, state or local statutes.

The above statements are intended to describe the general nature and level of work being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. Management reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.