
Medical Records Retrieval Specialist
11 hours ago
The company is seeking a Medical Records Specialist to play a critical role in the medical records retrieval process. This involves provider research and identification, request creation and quality control, request assignment and escalation, and team support and process improvement.
- Key Responsibilities:
- Identify all relevant providers associated with a client's treatment, not just the main facility submitted by the law firm.
- Locate billing providers and related entities using tools such as Chartswap, prior requests, and direct provider calls.
- Ensure timely completion of cases within assigned periods by accurately adding all identified providers to the request in the admin app.
- Review and Correction:
- Review and correct incoming ROIs (Release of Information forms), which are incomplete or inaccurate in most cases.
- Prepare accurate base forms and generate complete submission packets.
- Conduct thorough QA reviews of each ROI packet, ensuring cover letters, affidavits, and provider-specific requirements are correct.
- Request Management:
- Assign requests to the appropriate records team member based on workload and utilization.
- Escalate special provider requirements or edge cases to the appropriate Client Success Manager (CSM).
- Ensure 100% of escalations are logged and resolved within 24 hours by coordinating with law firms' case managers to resolve missing or conflicting information.
- Process Improvement:
- Provide 100% coverage for urgent backup tasks such as payment processing or fax monitoring when needed.
- Contribute to at least one measurable process improvement per quarter (e.g., reducing turnaround times or streamlining workflow).
- Support training and onboarding of new team members, helping them reach high productivity benchmarks within 30 days.
- Ensure adherence to scheduling and leave management with accurate documentation.
The ideal candidate will have excellent written and verbal communication skills, a proactive problem-solving mindset, and the ability to manage multiple requests simultaneously, ensuring timely completion within client service level agreements.
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