Behavioral Health Medical Records Specialist at Assembly Health

United States

$0.02k - $0.026k

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. What you'll do Medical Records Preparation: Collect, organize, and prepare medical records and related documentation required for insurance claim review. Ensure that all records are complete, accurate, and compliant with insurance requirements. Claims Submission Support: Work closely with billing specialists and AR specialists to submit medical records and documentation as part of the insurance claims process. Documentation Review: Verify the accuracy and completeness of all documentation before submission to third-party payers, identifying and addressing any missing information or discrepancies. Coordination with Providers: Liaise with healthcare providers and internal departments to obtain additional information or clarification on medical records as needed for medical record submissions. Compliance: Ensure that all medical records and documentation submitted to third-party payers comply with HIPAA, payer-specific guidelines, and other regulatory requirements. Follow-Up: Track the follow up on the status of submitted claims provided by AR specialists, ensuring that any requests for additional documentation from insurance companies are addressed promptly. Verify and properly document confirmation of receipt of submitted medical records facilitating the next phase of follow up. Communication: Maintain clear and effective communication with Leadership, billing and collections staff, insurance companies, and healthcare providers regarding the status of claims issues related to documentation. Record Management: Maintain organized and secure records of all documentation submitted to insurance companies, ensuring that these records are accessible for audits or reviews. Reporting: Generate reports on the status of medical records submissions, including any delays, denials, or issues related to medical records, and provide these reports to the Payer relations manager and the Director of Revenue Cycle Management. Training and Support: Assist and provide guidance and training to billing staff on the proper documentation and submission procedures required for successful claims processing involving medical records submissions as needed. Assist and provide guidance and training to AR specialists on the proper follow up procedures required for successful processing of claims involved in the medical record process Process Improvement: Identify areas for improvement in the medical records submission process and work with the Leadership team to implement best practices and enhance efficiency. Execute additional duties as assigned, demonstrating diligence and meticulous attention to detail. What we're looking for Associate’s degree in health information management, Medical Billing, or a related field is preferred. Minimum of two to four of experience in medical records management, billing, or a related role, with a focus on third-party billing and insurance claims submission. Strong understanding of medical records documentation, insurance billing processes, and regulatory compliance, including HIPAA. Excellent organizational, communication, and problem-solving skills, with attention to detail and the ability to manage multiple tasks simultaneously. Proficiency in electronic health records (EHR) systems and billing software. Ability to function well in a fast-paced and at times stressful environment. Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times. Why join the team? Be part of something special! We are growing both organically and through acquisitions. Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way! Ongoing training and development programs. An environment that values transparency.‍ This is a full-time, non-exempt position reporting to the Payer Relations Manager. The compensation range for this position is $20 - $26 per hour. Salary Range $20—$26 USD Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more. All official recruitment communications from Assembly Health will originate from an @assembly.health email address. Candidates are encouraged to carefully verify sender domains and remain vigilant against potential impersonation attempts. Communications from any other domain should be considered unauthorized.