What are the responsibilities and job description for the Medical Records and Authorization Specialist position at Mediabistro?
Benefits : 401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance
Are you looking for a place where you can make a genuine difference in people’s lives, during their final hour?
Search no further.
Compassionate Care Hospice was established to serve our community’s terminally ill, so that their last days on earth are peaceful and dignified. Help us write beautiful final chapters for those in need.
We are headquartered in Fresno and services the Central Valley, including the following counties : Fresno, Merced, Madera, Tulare, Kings, Mariposa, and Kern County. Our top priority is maintaining our culture of respect and love for our patients and team, alike. Our commitment to our core values allows us to be a provider and employer of choice. We understand that our employees are key to providing quality care and are our most important resource.
We actively seek career-oriented individuals, to whom we offer job security and upward mobility when appropriate - based on merit and performance. We proudly employ an accomplished team of professionals and our team is as diverse as the communities we serve, representing different ethnicities, religions, ages, national origins, and sexual orientations.
Join us today and grow with us!
We are currently seeking to fill the Medical Records and Authorization Specialist position.
- Position to be performed in the Fresno Headquarters.
- Compensation $21-$25 / hr (negotiable, based on experience, etc.).
- Knowledge of medical terminology, HIPAA regulations, and insurance authorization processes.
- At least 1-2 years of experience in authorizations, medical records, health information, or a similar administrative role, preferably in a hospice or healthcare setting.
About the Position The Medical Records and Authorization Specialist is responsible for the accurate organization and safeguarding of patient medical records. This role ensures that all necessary authorizations for hospice services are obtained and that the documentation complies with regulations, standards, and policies.
Key Responsibilities :
Medical Records :
Maintain accurate, organized, and up-to-date medical records for hospice patients.
Ensure all required documentation is complete, accurate, and compliant with legal and regulatory requirements.
Review patient charts for completeness, accuracy, and compliance with company policies and regulations.
Prepare, organize, and file medical records in both physical and electronic formats.
Assist in the retrieval of patient medical records for audits, reporting, and care coordination.
Authorization and Compliance :
Obtain necessary pre-certifications, authorizations, and insurance approvals for hospice care services.
Ensure timely submission of authorization requests to insurance providers, healthcare organizations, and regulatory bodies.
Communicate with insurance companies to verify eligibility, benefits, and coverage for hospice services.
Monitor and track the status of authorization requests and ensure that all required documents are submitted promptly.
Ensure that all authorization processes comply with federal, state, and local regulations, including HIPAA.
Coordination and Communication :
Collaborate with healthcare providers, case managers, and insurance companies to gather necessary information for medical records and authorizations.
Provide support to the clinical and administrative teams by facilitating smooth communication between parties involved in patient care and services.
Notify appropriate staff and patients of authorization approvals or denials and assist in next steps as needed.
Patient and Family Support :
Assist families in understanding the authorization process and provide guidance regarding insurance coverage for hospice services.
Educate patients and families on the necessary documentation and procedures for hospice care.
Quality Assurance :
Participate in audits and reviews to ensure accuracy and compliance of medical records and authorization processes.
Identify areas for improvement in documentation and authorization procedures to streamline workflows and ensure high standards of patient care.
Confidentiality and Security :
Ensure the privacy and confidentiality of patient records in compliance with HIPAA and other privacy laws.
Protect sensitive patient data, ensuring that records are accessible only to authorized personnel.
Qualifications : Education :
High school diploma or equivalent (Required).
Associate's or Bachelor's degree in Health Information, Medical Office Administration, or a related field (Preferred).
Skills :
Proficient in using Electronic Health Records (EHR) systems and healthcare software.
Strong attention to detail and organizational skills.
Excellent written and verbal communication skills.
Ability to handle confidential information with integrity.
Problem-solving and analytical skills.
Ability to work independently and as part of a team.
Employees and patients are equally precious to us. Your happiness is our happiness - we offer you the following benefits for any full-time position :
Compassionate Care Hospice has grown into the Valley’s leading Hospice establishment. Compassionate Care provides in-home medical, rehabilitative, and support services by seasoned professionals with comprehensive clinical training and robust hospitality experience.
CompassionateCare.com
Salary : $21 - $25
