Medical Records Operations Support

Medical Records Operations Support

Job Description Summary:

The Medical Records Operations Support Specialist will support administrative, data

management and research needs of various Revenue cycle teams, by coordinating medical

records (MR) collection and client outreach, by supporting projects as identified, and by

cultivating collaborative and productive relationships within the organization relating to Revenue

Cycle Management.

Job Responsibilities:

● Successfully obtain necessary medical documentation by collaborating with and serving

as a primary liaison between in-house billing operations, other customer experience

teams, medical records case managers and accounts

● Have a thorough understanding and knowledge of applicable CMS, state, and insurer

medical policy and coverage guidelines (in particular LCD & NCD Coverage Criteria)

● Ability to navigate and extract data from multiple versions of electronic medical records,

including EPIC

● Lead and coordinate all account outreach efforts, including tracking special contact

requests, reviewing incoming medical records and responding to any incoming account

phone calls

● Assist with regular case upload and database maintenance

● A basic knowledge and understanding of oncology and organ health terminology

(including chemotherapy treatments and well as immunotherapy treatments)

● Develop and cultivate ongoing working relationships with other departments impacting

revenue cycle performance

● Participate in weekly meetings, daily discussions, case reviews and continuing education

to review key metrics, workflows, trends, and performance improvement opportunities

● Prioritize team performance initiatives and productivity goals are achieved within a timely

manner while maintaining the highest quality of work standards for Q/A

● Follow department procedures and ensure all activities are documented and conducted

within compliance standards with applicable business process requirements and

regulatory requirements

● This role requires access to Patient Health Information (PHI) both in paper and

electronic form. Therefore, employees must complete training relating to HIPAA & PHI

privacy, General Policies and Procedure Compliance training and security training as a

requirement of the job

Qualifications:

● Two- or Four-year undergraduate degree or certification preferred;

● At least 2 years prior customer service or support experience;

● Previous laboratory experience in oncology and/or organ health is strongly preferred.

● Multilingual skills are a plus.

Required Knowledge, Skills and Abilities:

○ Knowledge of medical billing systems, medical terminology and abbreviations,

basic procedure coding knowledge and health care nomenclature and systems

○ Proficiency with G-Suite products, including Google Calendar and G-Sheets, and

strong analytic skills with ability to interpret, evaluate and act on clinical

information

○ Previous experience working in an Oncology or Transplant clinical setting

strongly preferred

○ Excellent organizational, time management and problem solving skills

○ Excellent interpersonal skills as well as the ability to work with a variety of

internal and external colleagues from all levels of an organization

○ Ability to work in a high performing, fast paced team environment that requires

flexibility

○ Ability to navigate across multiple customer demands and balance competing

priorities successfully

○ Ability to analyze, identify and articulate/report trends succinctly in a clear and

concise manner

○ Ability to solve problems using critical thinking skills

○ Maintains confidentiality of sensitive PHI information