Health Information Specialist

University of Arkansas System•Little Rock, AR

About The Position

The Health Information Specialist performs medical record services and manages patient information. The role analyzes patient data and insurance denial remittances to determine what a payer needs to adjudicate a claim. The specialist reviews remits, follows payer guidelines, determines how and where requested records should be processed and sent, and may print, upload, or electronically transmit records. The role also monitors work queues, works within expected timeframes, reports processing delays, and may contact insurance companies to confirm records reach the appropriate destination. Other duties and projects may be assigned.

Requirements

Bachelor’s degree in Health Information Management, Healthcare Administration, Business Administration, or a related field; or
Associate’s degree in Health Information Management, Healthcare Administration, Business Administration, or a related field, plus two years of medical or legal experience.

Responsibilities

Review insurance remittances and determine what medical records an insurance company needs to adjudicate patient claims.
Determine how and where records should be processed and sent based on the request; print, upload to portals, or transmit records electronically as needed.
Learn and follow each payer’s guidelines.
Process work within expected timeframes and report delays.
Contact insurance companies as needed to ensure records arrive at the appropriate destination; occasional phone activity with payers is required.
Analyze denials and notify the Manager about new or different remittance issues in work queues.
Notify the supervisor when there are delays in keeping work queues empty.
Perform other duties and/or projects as assigned.