Medical Records Specialist

• →Understand and comply with all governmental, regulatory, company billing/AR and compliance regulations/policies assigned by payers.
• →Analyze EOBs and correspondence to construct medical record packages that accurately respond to request/claim adjudication.
• →Identify and communicate specific payer information, issues, and/or trends to appropriate parties/departments.
• →Follow up and complete tasks on pending accounts in a timely manner.
• →Address denials and zero payments to identify and provide any requested documentation required to process the claim or refer to billing for claim corrections.
• →Use of office equipment and software applications to facilitate finalization of claim

• High school diploma or GED equivalent required.

• 1-2 years of medical collections/medical office experience.
• Intermediate level of expertise using Microsoft Office Suite (Outlook, Excel, Word, Teams) and PDF software (NitroPro)
• Familiarity with insurance payer rules and regulations
• Ability to affectively multi-task
• Strong comprehensive and analytical skills
• Effective verbal and written communication skills including professional phone skills
• Detail-oriented
• Able to function as a cooperative team member with a positive attitude.
• Must have ability to work independently with minimal supervision and maintain confidentiality.

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