Medical Records Clerk

Job Title:  Medical Records Clerk

Reports to: AR Manager

Summary:  The Medical Record Clerk will support and assist the AR team to retrieve medical records for all payer denial account work queues. Works closely with the AR Specialist team to retrieve requested medical records for claims that have been denied due to missing medical records. Submits medical records to each payer with specific instructions provided by the AR team with the necessary documents for specific payers to have the claims processed.

 Essential Duties and Responsibilities:

• Retrieves and verifies medical records and reports from online database (Cerner/Powerchart) per requests in the denial work queue
• Checks all medical records for quality standards, and follow-up appropriately on missing, incomplete or inaccurate documentation.
• Sends medical records to the payer, via the appropriate portal for that payer
• Files, locates, logs, retrieves and sends medical records as assigned for all payers
• Processes all medical records release requests in compliance with privacy protection laws.
• Other duties assigned.

 

Knowledge, Skills & Abilities:

• Knowledge of healthcare terminology and office procedures.
• Communicates clearly and concisely, verbally and in writing.

• Organizational skills – responsible for classifying the work completion day to day into realistic and manageable goals when situational changes demand it.

• Goal-oriented – holds themselves accountable to achieving shared and personal goals.

Education/Experience:  Understanding of healthcare billing/claims process. Must have understanding of medical terminology and clerical experience. The ability to prioritize work and meet deadlines. The ability to multi-task or shift responsibilities as department needs change. The ability to identify trends or issues and escalate them through the proper channels. The ability to work independently and as part of a team.

High school diploma or GED and 1-2 years related experience and/or training or equivalent combination of education and experience preferred. Strong attention to detail, communication and interpersonal skills. Working knowledge of Cerner Powerchart, EPIC software is a plus.