Medical Record Specialist

Evoraa Healthcare • Peachtree City, GA

5h • Hybrid

About The Position

The Medical Records Specialist's responsibilities include but are not limited to tasks that require the ability to collect data from our facility’s EMR (i.e., KIPU/Alleva etc.), such as patient name, DOB, and member ID #. In addition, the best candidate for this position will be experienced in behavioral health claims billing and behavioral health remittance and payments. A Billing & Payments Specialist oversees the company's process for gathering charge information provided by the facility on the census and submit to the payers in the form of a UB-04 (institutional claim) or a CMS-1500 (professional claim) via the clearinghouse & web vendor CollaborateMD (CollabMD). A Billing & Payments Specialist will also be liable for posting all payer remittances upon retrieving them from the web portals daily (EFT only) and receiving them from the facility if paper check / patient funds are received.

Requirements

• High School diploma or equivalent – some work history may be able to be substituted if necessary
• Proven interpersonal skills with the ability to interface effectively both internally and externally with a wide range of people including insurance companies, office staff, facility operators and other staff as needed
• Efficient with Outlook / Microsoft Office Suite

Nice To Haves

• Experience in behavioral health claims billing
• Experience in behavioral health remittance and payments
• Experience with EMR systems (KIPU/Alleva etc.)
• Experience with CollaborateMD billing software
• Experience with Monday.com

Responsibilities

• Collect data from facility's EMR (KIPU/Alleva etc.), including patient name, DOB, and member ID #.
• Experience in behavioral health claims billing and behavioral health remittance and payments.
• Oversee the company's process for gathering charge information provided by the facility on the census and submit to payers via UB-04 or CMS-1500 through the clearinghouse & web vendor CollaborateMD (CollabMD).
• Post all payer remittances upon retrieving them from web portals daily (EFT only) and receiving them from the facility if paper check / patient funds are received.
• Evaluate claims/Medical Record Requests to review all charges submitted to compare with authorization/medical necessity.
• Transfer and store all data in Monday.com.
• Utilize the billing software CollaborateMD to post & notate all requests received on remittance.

Benefits

• Medical
• Dental
• Vision
• Life Insurance
• Employee Assistance Program
• 401k Match
• Paid-Time Off
• Sick Time
• Holiday Pay

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED