Medical Records Clerk/Appeals Specialist - Behavioral Health
P
Pro Med Healthcare ServicesBehavioral Health
Candidates MUST Live in Florida, Monday through Friday 8:30 AM to 5:00 PMContractMiddle
Salary20 - 22 USD per hour
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Job Details
- Experience
- Minimum of 2 years
- Required Skills
- DocumentationMicrosoft Office SuiteEHRHIPAA
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 experience in medical records or health information management within a behavioral health or healthcare setting.
- Experience working with UR Specialists and Insurance Appeals.
- Proficiency in EHR platforms (e.g., BestNotes) and Microsoft Office Suite.
- Deep understanding of HIPAA, confidentiality regulations, and AHCA, DCF, and CARF standards.
- Strong knowledge of medical records management and Release of Information (ROI) processes.
- Valid Florida Driver’s License.
- Current CPR and First Aid Certification, or willingness to complete within 30 days.
- Clearance of TB test.
- Successful completion of AHCA Level II Background check.
Responsibilities
- Serve as the official custodian of client health records, ensuring proper maintenance, security, and release of information.
- Receive, log, and process all clinical documentation requests from internal and external stakeholders.
- Verify appropriate authorization for release of information (ROI) prior to disclosure.
- Work closely with Utilization Review staff to assemble, submit, and track documentation for insurance appeals.
- Coordinate with clinical and administrative staff to retrieve or clarify missing or incomplete documentation.
- Maintain strict confidentiality and ensure all recordkeeping meets federal and state privacy regulations.
- Stay informed of current AHCA, DCF, CARF, and payer documentation standards.
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