[Hiring] Medical Records Clerk/Appeals Specialist @Pro Med Healthcare Services

Role Description

The Medical Records Clerk Appeals Specialist oversees the managing of patient health files in a facility. Their duties include:

• Filing records
• Assisting in audits
• Collecting information
• Supplying the nursing department with appropriate documents and forms

This role serves as the primary point of contact for all record requests and ensures the accurate, timely, and confidential handling of clinical documentation for clients, families, referents, legal entities, payers, and regulatory agencies. Additionally, the position supports the Utilization Review team by preparing and tracking written insurance appeals.

Qualifications

• Strong knowledge of HIPAA and confidentiality regulations
• Familiarity with AHCA, DCF, and CARF standards
• Ability to manage high volumes of requests while maintaining accuracy and timeliness
• Excellent attention to detail and organizational skills
• Proficiency in EHR platforms (e.g., BestNotes) and Microsoft Office Suite
• Strong written and verbal communication skills
• Professional discretion and ability to maintain confidentiality in all matters
• Understands and maintains professional boundaries
• Demonstrates an understanding of rules/limits of patient confidentiality and maintains appropriate levels of client confidentiality/privacy
• Demonstrates consideration of and respect for values and cultural beliefs

Requirements

• High School Diploma or GED required
• Associate’s or bachelor’s degree in health information management, Healthcare Administration, or related field preferred
• Minimum of 2 years in medical records, health information management within a behavioral health or healthcare setting
• Experience with payer appeals and electronic health record systems preferred
• Valid Florida Driver’s License
• Current CPR and First Aid Certification, or willingness to complete within the first 30 days of employment
• Clearance of TB test

Benefits

• Pay rate: $20.00 to $22.00 an hour based on experience
• Remote work opportunity
• Monday through Friday hours: 8:30 AM to 5:00 PM