Medical Claims Specialist

Medical Claims Specialist

Pay: $17.50 per hour

Description:

This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

• Candidate needs to have:
  • Good Personality, need to be open to learning, first week a lot of info thrown at you and then when you are shadowing it all comes together, need to work well individually, and responsible because not micromanaged. High attention to detail!
• Types of processing Billings, subpoenas, government, medical records
• Example: Request from a lawyer needs to be HIPAA compliant and have authorization from individual to release records, look up info to verify, print out claim, upload documents to the request, and then send it out.
• After you get into the groove of things can put on headphones and do the work.

Job Duties:

• Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
• Will receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
• Completes release of information requests including retrieving patient's medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
• Date stamps all requests and highlights pertinent data to facilitate processing.
• Validates requests and authorizations for release of medical information according to established procedures.
• Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
• Maintain equipment in excellent operating condition (inside and out).
• Maintains a neat, clean, and professional personal appearance and observes the dress code established.
• Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
• Maintains working knowledge of the existing state laws and fee structure
• Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
• Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
• Maintains confidentiality, security and standards of ethics with all information.
• Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.

Qualifications:

• A minimum of 2 years prior experience in healthcare
• Excellent customer service
• Must have strong computer software experience -- general working knowledge of Microsoft Word and Excel required
• Excellent organizational skills a must
• Must be able to type 50 wpm
• Must be able to use fax, copier, scanning machine

About Aston Carter:

Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you.

At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Salary : $18