Medical Record Specialist at Evoraa Healthcare

Peachtree City, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Sep, 26

Salary

0.0

Posted On

16 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Behavioral Health Billing, Medical Records Management, Claims Processing, UB-04, CMS-1500, CollaborateMD, KIPU, Alleva, Monday.com, Microsoft Office Suite, Payer Remittance, Data Collection

Industry

Health and Human Services

Description

Description Position Summary: The Medical Records Specialist’s responsibilities include but are not limited to tasks that require the ability to collect data from our facility’s EMR (i.e., KIPU/Alleva etc.), such as patient name, DOB, and member ID #. In addition, the best candidate for this position will be experienced in behavioral health claims billing and behavioral health remittance and payments. A Billing & Payments Specialist oversees the company's process for gathering charge information provided by the facility on the census and submit to the payers in the form of a UB-04 (institutional claim) or a CMS-1500 (professional claim) via the clearinghouse & web vendor CollaborateMD (CollabMD). A Billing & Payments Specialist will also be liable for posting all payer remittances upon retrieving them from the web portals daily (EFT only) and receiving them from the facility if paper check / patient funds are received. Essential Duties: Efficient with Outlook / Microsoft Office Suite Evaluate claims/ Medical Record Requests to review all charges that are submitted to compare with authorization/medical necessity Ability to transfer and store all data in Monday.com Ability to utilize the billing software CollaborateMD to post & notate all request received on remittance Requirements Minimum Qualifications: High School diploma or equivalent – some work history may be able to be substituted if necessary Proven interpersonal skills with the ability to interface effectively both internally and externally with a wide range of people including insurance companies, office staff, facility operators and other staff as needed Work Environment: General office setting for third-party billing and collections staff. There will be no daily face-to-face interactions with facility staff, operators, or patients – this office & position is remote to all facilities located in Peachtree City, GA. This Position is in office or remote depending on case by case basis and experience. Benefits Include: Medical, Dental, Vision, Life Employee Assistance Program 401k Match Paid-Time Off Sick Time Holiday Pay

Responsibilities

The specialist is responsible for collecting patient data from EMR systems and managing behavioral health claims billing and payments. This includes submitting institutional and professional claims via CollaborateMD and posting payer remittances daily.