Patient Access & HIM Reconciliation Specialist

North Star Health•Springfield, VT

6d•$22 - $26

About The Position

The Patient Access & HIM Reconciliation Specialist supports the accurate processing, maintenance, reconciliation, and exchange of patient health information while advancing patient access, empanelment, and continuity-of-care initiatives. The position ensures external clinical records are integrated into the electronic health record (EHR), supports clinical data abstraction and record management, and coordinates panel management, patient onboarding, provider assignment, and patient re-engagement activities. The role calls for strong attention to detail, analytical skills, customer service, and a commitment to data integrity, confidentiality, and regulatory compliance. The specialist processes and integrates incoming health information, maintains records in compliance with HIPAA and organizational requirements, and reviews documentation for accuracy, completeness, and appropriate routing. The role also supports patient access and engagement, provider panel management, reporting and analysis, and cross-functional work to advance continuity of care and population health initiatives.

Requirements

High school diploma or equivalent required.
Experience with EHR systems, data management, and confidential information required.
Strong analytical, organizational, and communication skills, including the ability to interpret clinical information, manage multiple priorities, maintain data accuracy, and support patient access, continuity of care, and regulatory compliance.
Ability to communicate professionally and compassionately with patients, providers, staff, and external organizations.
Proficiency in EHR systems and Microsoft Office Suite.
Strong data analysis, reporting, and problem-solving skills.
Excellent verbal and written communication skills.
Strong organizational, prioritization, and time-management skills.
Ability to manage multiple priorities while maintaining accuracy and attention to detail.
Ability to work independently and collaboratively in a fast-paced healthcare environment.
Maintain confidentiality and professionalism, and demonstrate integrity, accountability, respect, and commitment to the organization's mission, vision, values, and operational principles.

Nice To Haves

Coursework or an associate degree in Health Information Management, Healthcare Administration, Medical Office Administration, Medical Terminology, Anatomy/Human Biology, Public Health, or a related healthcare field.
Three to five years of experience in healthcare operations, health information management, patient access, care coordination, population health, or a related healthcare setting.
Knowledge of healthcare operations, medical terminology, HIPAA requirements, and population health principles.
Knowledge of medical terminology, healthcare operations, and Federally Qualified Health Center environments.

Responsibilities

Receive, prioritize, index, categorize, reconcile, and maintain incoming health information from digital fax, health information exchange (HIE), external EHR, and other sources.
Extract and enter relevant clinical information into structured EHR fields to support complete, accurate, and accessible patient records.
Support HIPAA-compliant maintenance, release, retention, archiving, and destruction of patient records.
Coordinate secure information exchange with external healthcare organizations, medical records vendors, and HIEs in accordance with organizational and regulatory requirements.
Verify patient identifiers and demographic information, monitor record quality and completeness, resolve discrepancies, track record requests, and ensure clinical documentation is appropriately routed for provider review and follow-up.
Support PCP assignment, panel balancing, provider transitions, PCP changes, and patient status updates to maintain accurate empanelment and continuity of care.
Support new patient onboarding, medical record acquisition, outreach to inactive patients, and related activities that improve access, retention, and continuity of care.
Develop, maintain, and analyze patient panel and continuity reports, including provider assignments, continuity rates, retention trends, utilization patterns, and PCP changes.
Collaborate across North Star Health to facilitate patient access, continuity of care, record processing, empanelment activities, population health initiatives, and workflow execution.
Follow North Star Health workflows, best practices, policies, and procedures, including health information management, medical release, privacy and security, and records retention requirements.
Contribute to team collaboration and continuous process improvement while supporting patient-centered care, access, continuity, and quality improvement.