Medical Records and Contracting Clerk

NORTHSHORE HEALTH CENTERS•Chesterton, IN

8d•Onsite

About The Position

The Medical Records and Contracting Clerk is responsible for maintaining the integrity of all patient medical records, which includes prompt scanning/filing/handling/processing of all patient related documents and patient records, while maintaining patient confidentiality according to HIPAA guidelines, and NorthShore’s Information Security Policies. Additionally the Medical Records and Contracting Clerk is responsible for timely processing and completion of initial and re-credentialing insurance contracts for all NorthShore providers and locations.

Requirements

High School Diploma, Transcripts, or Equivalent
Ability to analyze situations and solve problems at strategic and tactical levels
Excellent interpersonal and customer service skills
Ability to comprehend, interpret, and apply the appropriate sections of applicable laws, guidelines, regulations, ordinances, and policies
Ability to acquire a thorough understanding of the organization's hierarchy, jobs, qualifications, compensation practices, and the administrative practices related to those factors
Practiced at organization and planning
Employ Critical thinking and problem solving
Maintains composure and operates with emotional intelligence
Ethical reasoning and decision-making
Strong attention to detail
Receptive and responsive to feedback
Excellent verbal and written communication skills
Time management, prioritization, and sense of urgency
Proficient with Microsoft Office Suite or related software

Nice To Haves

Bachelor’s Degree in Business, Finance, or Healthcare related studies
Two years of experience working within a healthcare setting.

Responsibilities

Ensures that all chart requests for transfer of records are completed in a timely manner with the appropriate release of information documentation.
Processes all medical records request by patients/staff/third parties by copying medical records for release of information while ensuring the safety and confidentiality of all records.
Scans documentation, laboratory, radiology reports, etc. into each patient’s electronic chart within 24 hours of receipt of each document.
Ensures that all faxes are removed from the fax machine and processed in a timely manner, then placed in a secure area or in the shred container in order to maintain patient confidentiality.
Reports to Medical Records Manager when supplies are low in the department, to help ensure an appropriate level of supplies and other materials are maintained at all times.
Maintains confidentiality of all current and former patient medical records in accordance with NorthShore’s Information Security policies, HIPAA confidentiality requirements, and any/all other confidentiality regulations of all other governing regulatory agencies.
Ensures that records are sent in a timely manner, as needed, during scheduled rotating on-call shift.
Complete provider initial and re-credentialing applications, provider demographic update forms, and letters for Medicare, Medicaid, managed care plans, and commercial insurances.
Maintain and remain in compliance with payer and product directory updates monthly and quarterly through portals such as Availity, LexisNexis, Better Doctor, and other validation tools.
Utilize and navigate Medicaid, NPPES, CAQH and additional sites/portals for providers and NorthShore locations as they are needed.
Construct new provider CAQH profiles, update current CAQH applications, and attest the CAQH profiles quarterly for all providers.
Communicate with the appropriate NorthShore staff on the status of insurance contracts as needed.
Attends mandatory staff meetings and department meetings as required.
Performs other duties as identified or assigned.