Health Specialist Jobs

About The Position

Requirements

• High school diploma or equivalent.
• At least 3 years of experience in medical billing or Health Information Management-related job duties.
• Previous medical-records experience, including EMR navigation and general billing knowledge.
• Knowledge of CPT and ICD-10 codes.
• Knowledge of standard medical terminology, basic human anatomy, orthopedic diagnoses, and medical-record format, content, and documentation order.
• Knowledge of EMR systems and where clinical information and other data points are located.
• Computer proficiency, including web browsers and internet searches, MS Outlook, Word, Excel, and PowerPoint; ability to learn new software and systems.
• Proficiency using office machinery, telecommunications, and web-based tools.
• Ability to work in a fast-paced environment while remaining calm and professional.
• Ability to maintain consistent, regular attendance and punctuality.

Nice To Haves

• Ability to perform routine maintenance and basic maintenance of scanning equipment.

Responsibilities

• Obtain medical records and supporting documentation, proactively securing incomplete data for clean claim submission through EMR access, technology support software, requests for information, and traditional medical-record requests.
• Examine documents and determine their proper placement in paper or electronic records.
• Use critical thinking within established guidelines to perform medical-record retrieval, document labeling, and problem solving.
• Examine patient medical records and verify patient identification.
• Perform pre-scan validation of new claims and supporting documentation for accuracy and timely processing.
• Use the Breg Claim System (BCS), patient-care documentation, and uploaded claim documentation to resolve pending claims.
• Maintain high productivity while following accuracy and quality controls.
• Understand general medical-necessity requirements in LCD policy articles for Breg’s core products.
• Perform administrative tasks, including receiving and scanning paper claim documentation, handling mail and overnight shipping, faxing, copying, scanning, filing, purchasing office supplies, and preparing general correspondence.
• Maintain HIPAA compliance for patient medical records and personal health information.
• Meet daily, weekly, and monthly objectives for claim processing, revenue, and scorecard expectations.
• Demonstrate Breg’s culture of accountability and cultural beliefs.
• Contribute to the development of Health Information Management processes and procedures for continuous quality improvement.
• Assist with and participate in process-improvement activities as a subject matter expert.
• Support other medical billing and collection tasks as required.
• May greet and assist patients, vendors, and visitors in a prompt, efficient, and professional manner.
• May anticipate office-supply needs and maintain office supplies and equipment.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Disability insurance
• Life insurance
• Paid time off
• Company-paid holidays
• Professional advancement opportunities
• The role may also be eligible for a bonus.