Claims Coordinator for Medical Records

7 days ago

Rizal, Philippines beBeeReputation Full time ₱500,000 - ₱700,000
Job Title

Legal Intake Specialist

A pivotal role as the first step in the medical records retrieval process.

Key Responsibilities
  • Provider Research & Identification:
    • Identify all relevant healthcare providers involved in a client's treatment, beyond the main facility listed by the law firm.
    • Research and locate billing providers and related entities using tools such as Chartswap, historical request data, and direct provider outreach.
    • Accurately input all identified providers into the admin application.
  • Request Creation & Quality Control:
    • Review incoming ROIs (Release of Information forms), correcting incomplete or inaccurate submissions (noting that 90% require adjustments).
    • Prepare accurate base forms before generating submission packets.
    • Conduct comprehensive quality assurance checks on each ROI packet, verifying inclusion of all required details such as cover letters, affidavits, and other documentation.
  • Request Assignment:
    • Assign requests to the appropriate records team members based on workload balance and utilization metrics.
  • Handling Special Cases:
    • Identify and escalate special provider requirements (e.g., unique forms or protocols) to the assigned Client Success Manager (CSM).
    • Resolve missing, unclear, or conflicting information by liaising with the law firm's case manager.
    Requirements
    • Experience: Prior hands-on experience requesting health records from providers on behalf of law firms.
    • Attention to Detail: Exceptional accuracy; even small mistakes can cause delays of several months.
    • Technical Skills: Proficiency with Adobe Acrobat and other PDF editing/combining tools.
    • Communication: Strong verbal and written communication skills, with a proactive problem-solving mindset.

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