[Hiring] Behavioral Health Medical Records Specialist @Assembly Health

Role Description

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.

• 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.
  • Identify and address 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.
  • Ensure 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.
  • Ensure 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.
  • 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.
  • Work with the Leadership team to implement best practices and enhance efficiency.
• Execute additional duties as assigned, demonstrating diligence and meticulous attention to detail.

Qualifications

• Associate’s degree in health information management, Medical Billing, or a related field is preferred.
• Minimum of two to four years 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.

Benefits

• 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.
• 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.