Medical Records Clerk/Appeals Specialist
New
P
Pro Med Healthcare ServicesBehavioral Healthcare
Florida, United StatesContractMiddle
Salary20 - 22 USD per hour
Apply NowOpens the employer's application page
Job Details
- Experience
- Minimum of 2 years in medical records, health information management within a behavioral health or healthcare setting.
- Required Skills
- Microsoft Office SuiteEHR
Requirements
- High School Diploma or GED required; Associate’s or bachelor’s degree in health information management or related field preferred.
- Minimum of 2 years in medical records or health information management within a behavioral health or healthcare setting.
- Experience with payer appeals and electronic health record (EHR) systems.
- Strong knowledge of HIPAA and confidentiality regulations.
- Familiarity with AHCA, DCF, and CARF documentation standards.
- Proficiency in EHR platforms (e.g., BestNotes) and Microsoft Office Suite.
- Valid Florida Driver’s License.
- Current CPR and First Aid Certification (or willingness to complete within 30 days).
- Clearance of TB test.
- Strong attention to detail and ability to manage high-volume requests.
Responsibilities
- Serve as the official custodian of client health records, ensuring maintenance, security, and release in compliance with HIPAA, AHCA, DCF, and CARF standards.
- Receive, log, and process requests for clinical documentation from clients, families, payers, attorneys, and auditors.
- Verify authorization for release of information (ROI) and maintain accurate disclosure logs.
- Support the Utilization Review team by assembling, submitting, and tracking written insurance appeals for claim denials.
- Coordinate with clinical and administrative staff to retrieve or clarify missing patient documentation.
- Maintain record retention, storage, and destruction logs per policy and legal standards.
View Full Description & ApplyYou'll be redirected to the employer's site
