Health Information Management Specialist II (Phoenix)

Breg Careers•Tempe, AZ

11h•Onsite

About The Position

Breg is seeking a Health Information Management Specialist II to join its team in Phoenix, Arizona. The role obtains and reviews medical records and supporting documentation, resolves incomplete claim information, and validates new claims for accuracy and timely processing. The specialist uses electronic medical record access and Breg’s claim system to support claim processing, while maintaining productivity, accuracy, quality controls, and HIPAA compliance. The position also performs administrative and office-support tasks, contributes to process improvement, and supports other medical billing and collection work as needed. Work schedules may include variable start and end times outside the company’s standard 8:00 a.m.–5:00 p.m. business hours.

Requirements

High school diploma or equivalent.
At least 3 years of experience in medical billing or Health Information Management-related job duties.
Previous medical records experience, including EMR navigation, general billing knowledge, and CPT and ICD-10 codes.
Knowledge of standard medical terminology, basic human anatomy, orthopedic diagnoses, and medical record format, content, and documentation order.
Knowledge of EMR systems and where various data points and clinical information are located.
Computer proficiency, including web browsers and internet searches, MS Outlook, Word, Excel, and PowerPoint; ability to learn new software and systems.
Proficiency with office machinery, telecommunications, and web-based tools.
Ability to work in a fast-paced environment while remaining calm and professional.
Ability to maintain consistent, regular attendance and punctuality.
Must be currently authorized to work in the United States on a full-time basis; Breg will not sponsor work visas for this position.

Nice To Haves

Ability to perform routine and basic maintenance of scanning equipment.

Responsibilities

Obtain medical records and supporting documentation.
Secure incomplete information for clean claim submission using EMR access, technology support software, information requests, and traditional medical record requests.
Review documents and determine their proper placement in paper or electronic records.
Use critical thinking within established guidelines to retrieve medical records, label documents, and resolve problems.
Examine patient medical records and verify patient identification.
Perform pre-scan validation of new claims and supporting documents to ensure accuracy, timely processing, and revenue recognition.
Use the Breg Claim System (BCS) and patient-care and claim documentation to resolve pending claims.
Maintain high productivity while meeting accuracy and quality-control standards.
Apply general medical-necessity requirements stated in LCD policy articles for Breg’s core products.
Perform administrative tasks, including receiving and scanning paper claim documents, handling mail and overnight shipping, faxing, copying, filing, purchasing office supplies, and preparing correspondence.
Maintain HIPAA compliance for patient medical records and personal health information.
Meet daily, weekly, and monthly objectives for claim processing, revenue, and scorecard expectations.
Demonstrate Breg’s culture and cultural beliefs, including accountability.
Contribute to the development of Health Information Management processes and procedures for continuous quality improvement.
Assist with and participate in process-improvement activities as a subject matter expert.
Support other medical billing and collection tasks as required.
As needed, greet and assist patients, vendors, and visitors professionally and promptly.
As needed, anticipate office supply needs and maintain office supplies and equipment.