Job Summary
The Medical Records Specialist plays a crucial role in handling requests from insurance providers by effectively utilizing electronic medical records and revenue management systems. This position requires a keen analysis of benefits explanations and relevant documentation to ensure claims are processed accurately and reimbursement levels are optimized.
Responsibilities
- Address requests from insurance carriers by navigating electronic medical records and revenue platforms.
- Conduct thorough analyses of explanations of benefits and related documents to facilitate accurate claim processing.
- Ensure maximum reimbursement through diligent review of claims and documentation.
Qualifications
- High school diploma or GED is mandatory.
- 1-2 years of experience in medical collections or a medical office environment.
- Proficiency in Microsoft Office is essential.
- Familiarity with insurance payer regulations and rules is required.
MPOWERHealth provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
