Zealie is a fast-growing Medical Billing Services company specializing in the Behavioral Healthcare industry. Our clients are substance use disorder treatment, addiction recovery, and mental health treatment centers that are saving lives on a daily basis. Our state of the art proprietary technology provides data analytics and revenue prediction tools to our clients to help them make strategic business decisions to grow their business. We are committed to delivering exceptional products and services to our clients and believe that our Medical Records team plays a crucial role in achieving this mission. We are seeking motivated individuals with a desire to be a part of a winning team.
Job Summary
The Medical Record Specialist is responsible for managing and maintaining patient medical records to ensure accuracy, completeness, and confidentiality. This role involves organizing, filing, and retrieving medical documentation, ensuring compliance with regulatory standards, and safeguarding patient information in both electronic and paper formats. The specialist will work closely with healthcare providers, administrative staff, and patients to facilitate the proper handling of medical records and support effective healthcare delivery. Key duties include record retrieval, quality assurance, regulatory compliances. The ideal candidate will possess strong organizational skills, attention to detail, and a thorough understanding of privacy laws and medical record management practices.
Responsibilities and Duties
Ensure Medical records are provided in a complete and timely manner.
Be familiar with medical necessity for all payers.
Use multiple EMR systems to gather Medical Records .
Follow up on Medical records submission to confirm they have been received
Review and determine accuracy of demographics , Insurance and billing data
Cross reference billing and authorization software to ensure accuracy in billing submissions prior to submitting Medical records
Work with insurance carrier in order to provide proper documentation and reach a resolution
Maintain and organize patient file documentation .
Document appropriate follow up notes on accounts and keep meticulous notes in Zealie Zion as required
Demonstrate customer service skills with the ability to effectively communicate with Internal and external customers and adequate computer skills to be proficient in daily job functions
Maintains confidentiality of all patient care information to assure patient rights are protected
May assist in other departmental duties including claim follow up .
Qualifications and Skills
Strong attention to detail and organizational skills.
Proficiency with electronic health record (EHR) systems and medical coding.
Knowledge of medical terminology and healthcare regulations.
Excellent communication and interpersonal skills.
Ability to handle sensitive information with discretion.
Experience working with payer portals
Medical Terminology
Record Scanning and Review
Experience in Revenue Cycle Management
Education and Experience
High school diploma or equivalent; associate's degree in health information management or related field preferred.
Experience in EHR and Medical Billing
Preferred
Experience working in a behavioral health billing setting
* Knowledge of Substance abuse and Mental Health Treatment Industry
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