Health Information Specialist (HIS)

Viemed • Lafayette, LA

452d

About The Position

The Health Information Specialist (HIS) plays a crucial role in managing and processing medical records for patients, ensuring compliance with insurance and regulatory requirements. This position involves reviewing insurance policies, medical documentation, and handling requests for medical records, while maintaining effective communication with patients, healthcare providers, and internal teams.

Requirements

• High School Diploma or equivalent.
• Knowledge of Explanation of Benefits from insurance companies.
• Working knowledge of government, regulatory billing and compliance regulations/policies for Medicare & Medicaid.
• Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, and medical terminology.
• Knowledge of policies and procedures to accurately answer questions from internal and external customers.
• Utilizes initiative while maintaining set levels of productivity with consistent accuracy.
• Minimum of 2 years in DME experience required.
• 3-5 years in DME or medical billing experience preferred.
• Superior organizational skills.
• Proficient in Microsoft Office, including Outlook, Word, and Excel.
• Attention to detail and accuracy.
• Effective/professional communication skills (written and oral).

Responsibilities

• Review and understand insurance policies and standard Explanation of Benefits.
• Review and understand medical documentation effectively.
• Review and resolve requests for medical records related to claims processing and audits.
• Monitor and maintain audit logs.
• Perform internal audits for quality assurance.
• Manage medical records of patients for insurance, private individuals, and government entities for home medical equipment.
• Establish and maintain effective communication and good working relationships with patients, family, physicians' offices, and other internal teams.
• Perform clerical tasks such as answering patient/insurance calls, faxing, and emailing.
• Communicate appropriately and clearly to Manager/Supervisor and other superiors.
• Report all concerns or issues directly to Revenue Cycle Manager and Supervisor.
• Handle other responsibilities and projects as assigned.

What This Job Offers

• Job Type: Full-time
• Industry: Rental and Leasing Services
• Education Level: High school or GED