Referral & Medical Records Specialist

Christ Health Center Inc•Birmingham, AL

5d•Onsite

About The Position

The Medical Records and Referral Specialist plays a vital role in managing both patient referrals and medical records with accuracy, efficiency, and professionalism. This position is responsible for answering the referral telephone line, processing orders in the referral inbox, scheduling appointments with outside providers, and communicating with patients regarding their referrals. Additionally, the specialist processes medical record requests, maintains organized and compliant health records, and ensures all documentation meets regulatory standards.

Requirements

High school diploma or higher required
Minimum of 1 year of experience, preferably in a physician’s office
Strong knowledge and understanding of HIPAA regulations
Experience processing medical record requests and legal document handling
Excellent verbal, organizational, and written communication skills
Attention to detail and ability to work in a fast-paced environment
Ability to work independently and collaboratively in a team setting
Proficiency in Microsoft Office (Word, Excel, Outlook)
Ability to type at least 35 words per minute
Understanding of HIPAA requirements and obligations
Ability to use Microsoft Office for letter writing and other administrative tasks
Participation in staff education, quality assurance, and risk-management programs
Punctual and dependent for assigned/confirmed shifts.
Work requires the ability to move and transport objects weighing up to 20 pounds.
Work requires the ability to remain in a stationary position +/- 90% of the time.
Work requires the ability to position self to move and good manual dexterity.
Work requires the ability to communicate, converse with (in-person and over the phone) and exchange information effectively with others.
Work requires the ability to inspect documents for accuracy.
Work requires visualizing, identifying, inspecting and operating a computer and other office machinery, including a computer monitor, keyboard, mouse and printer.
OSHA personal exposure risk category I & II.
Airborne personal exposure risk category I (Possible exposure of the healthcare worker to patients capable of transmitting M. tuberculosis).? Universal precautions will be adhered to at all times.
Ability to read and comprehend simple instructions, short correspondence, and memos; ability to write simple correspondence and reports; Ability to effectively present information in one-on-one and small group situations to patients, visitors, and other employees of the organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals; ability to compute rate, ratio, and percent.
The ability to apply general rules to specific problems to produce answers that make sense. The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events) and to convey the information to others.
Understands Christ Health Center Mission Statement and Values.
Requires the ability to work in a multi-cultural setting.
Consistently displays Christ Health Center’s Mission daily.

Nice To Haves

Experience with Federally Qualified Health Centers (FQHC) preferred
Familiarity with Athena EMR system preferred
Experience working in a multi-cultural setting (Bi-lingual in Spanish preferred)
Ability to multi-task professionally in a setting with maximum distractions
Self-motivated and flexible to daily patient schedule and clinic needs
Proficiency in Electronic Medical Record (EMR) systems preferred

Responsibilities

Process orders and referrals for patients to services outside of CHC in a timely manner.
Organize and prioritize tasks effectively to meet goals.
Interact with patients, families, physicians, employees, and volunteers with compassion, respect, and dignity.
Demonstrate strong interpersonal skills to provide exceptional service.
Answer and triage phone calls, including callbacks, with exceptional phone courtesy.
Proficient in using basic office equipment such as fax, scanners, and computers.
Understand and apply HIPAA guidelines.
Familiar with Medical Records Rights to Access Policy.
Process medical records requests, including general and legal requests (subpoenas).
Accurately copying and provision of medical records.
Scan and file medical record images into the electronic medical record (EMR) system.
Manage the Medical Records Inbox.
Assist with chart audits for third-party payers.
Correct unprocessed documents in the EMR.
Process medical record requests from both internal and external customers.
Maintain a positive image and strong relationships with referral healthcare community and agencies.
Schedule referral appointments and send appropriate documentation.
Manage the prior authorization process for referrals as dictated by payers.
Follow Christ Health policies and procedures for processing orders and tracking.
May participate in the patient care team and daily huddle as needed to support quality care.
Perform other duties as assigned.