Medical Records Clerk - Fort Lauderdale, United States - PainPoint Health

PainPoint Health Fort Lauderdale, United States

4 weeks ago

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Description

Job Description

Job Description

Summary:

Follows established guidelines in communicating with insurance carriers to obtain precertification authorization for scheduled office visits, in-office, and surgical procedures. Works with medical staff and updates electronic records with information about eligibility, pre-existing exclusions, and deductibles. Determines if second opinion or prior approval is needed and notifies the patient when necessary.

Pay: $18 per hour.

Essential Duties and Responsibilities:

Performs a variety of tasks relating to medical claims processing, follow-up, and collections to maximize receivables.
Interprets EOBs and reconciles patient accounts to ensure proper payment, adjustment, and balance.
Follows up on outstanding A/R for all payers including government and self-pay.
Communicates and works with responsible parties to resolve past-due accounts.
Researches, appeals, and resolves outstanding claims and insurance denials.
Performs data entry to update and maintain customer accounts and post payments.
Answers questions asked by patients or patient's family members.
Answers telephone and route calls to appropriate person.
Prepares outgoing mail, sort, and distribute incoming mail.
Enters patient information into the computer.
Demonstrates ability to tactfully handle difficult situations.
Recognizes and performs duties which need to be performed although not directly assigned.
Verifies patient insurance information, assist insurance companies with questions regarding patient accounts.
Charges entry to patient accounts for services rendered.
Works with insurance companies to procure numbers, codes, and acceptance.
Copies records and documents as needed.
Assists front desk with phone calls and scheduling as needed.
Completes annual mandatory training by the due date as assigned.
Performs other related duties as assigned.
Essential Duties and Responsibilities:
High school diploma or GED required.
At least six months of related experience and/or training required.

Required Skills & Abilities:

Excellent verbal and written communication skills.
Excellent organizational skills and attention to detail.
Strong analytical and problem-solving skills.
Proficient with Microsoft Office Suite or related software.
Knowledge of accepted hospital medical-records practices including medical records ethics, classification, and nomenclature.
Ability to interpret medical records department policies and procedures and to apply them in specific situations.

Physical Demands:

Required to sit for long periods.
Must be able to communicate with or without reasonable accommodations – speak and hear.
Able to use both hands to finger, handle, or feel, and reach with hands and arms.
Frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus.

An Equal Opportunity Employer

We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.

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