Medical Records Operations Support

Summary

The Medical Records Operations Support Specialist will support administrative, data management and research needs of various Revenue cycle teams, by coordinating medical records (MR) collection and client outreach, by supporting projects as identified, and by cultivating collaborative and productive relationships within the organization relating to Revenue Cycle Management.

Job Responsibilities

• Successfully obtain necessary medical documentation by collaborating with and serving as a primary liaison between in-house billing operations, other customer experience teams, medical records case managers and accounts
• Have a thorough understanding and knowledge of applicable CMS, state, and insurer medical policy and coverage guidelines (in particular LCD & NCD Coverage Criteria)
• Ability to navigate and extract data from multiple versions of electronic medical records, including EPIC
• Lead and coordinate all account outreach efforts, including tracking special contact requests, reviewing incoming medical records and responding to any incoming account phone calls
• Assist with regular case upload and database maintenance
• A basic knowledge and understanding of oncology and organ health terminology (including chemotherapy treatments and well as immunotherapy treatments)
• Develop and cultivate ongoing working relationships with other departments impacting revenue cycle performance
• Participate in weekly meetings, daily discussions, case reviews and continuing education to review key metrics, workflows, trends, and performance improvement opportunities
• Prioritize team performance initiatives and productivity goals are achieved within a timely manner while maintaining the highest quality of work standards for Q/A
• Follow department procedures and ensure all activities are documented and conducted within compliance standards with applicable business process requirements and regulatory requirements
• This role requires access to Patient Health Information (PHI) both in paper and electronic form. Therefore, employees must complete training relating to HIPAA & PHI privacy, General Policies and Procedure Compliance training and security training as a requirement of the job

Qualifications

• Two- or Four-year undergraduate degree or certification preferred
• At least 2 years prior customer service or support experience
• Previous laboratory experience in oncology and/or organ health is strongly preferred
• Multilingual skills are a plus

Required Knowledge, Skills and Abilities

• Knowledge of medical billing systems, medical terminology and abbreviations, basic procedure coding knowledge and health care nomenclature and systems
• Proficiency with G-Suite products, including Google Calendar and G-Sheets, and strong analytic skills with ability to interpret, evaluate and act on clinical information
• Previous experience working in an Oncology or Transplant clinical setting strongly preferred
• Excellent organizational, time management and problem solving skills
• Excellent interpersonal skills as well as the ability to work with a variety of internal and external colleagues from all levels of an organization
• Ability to work in a high performing, fast paced team environment that requires flexibility
• Ability to navigate across multiple customer demands and balance competing priorities successfully
• Ability to analyze, identify and articulate/report trends succinctly in a clear and concise manner
• Ability to solve problems using critical thinking skills
• Maintains confidentiality of sensitive PHI information