Medical Records / Utilization Management Specialist

Wellpath•West Palm Beach, FL

7d•Onsite

About The Position

The Medical Records Clerk is a vital role responsible for maintaining accurate health records. They organize and manage an approved system of records, ensuring that patient information is properly documented and secure. The Medical Records Clerk must be accountable and efficient in their work, ensuring that all records are up-to-date and readily accessible to authorized individuals. This advanced Medical Records role focuses on care coordination and utilization management. Responsibilities include working with hospitals and outside providers, managing daily patient reports, scheduling appointments, and coordinating transportation for community-based medical visits. Strong organizational and communication skills are essential.

Requirements

High school diploma or G.E.D.
Reside in the United States.

Nice To Haves

Training in an accredited medical record program or minimum of one year experience in an established medical record system preferred, but not mandatory
Strong organizational and communication skills are essential.

Responsibilities

Ensure the confidentiality of all medical records information and complete forms for release of information, referring any questionable requests to the Medical Records Supervisor/Health Services Administrator (HSA).
Maintain up-to-date medical records filing and perform clerical and technical duties such as preparing reports and correspondence, answering telephones, relaying messages, transferring calls, and filing loose documentation generated from inside and outside the institution.
Schedule inmates for medical appointments as requested and assist the Medical Records Supervisor in preparing periodic statistical reports and other management information system requirements.
Actively participate in quality of care screen audits to promote Quality Improvement standards.
Maintain accountability for the organization and maintenance of health records and ensure that patient information is properly documented and secure.
Work with hospitals and outside providers.
Manage daily patient reports.
Schedule appointments.
Coordinate transportation for community-based medical visits.