Synergy Health Partners Hiring for AR Support Associate – Medical Records Clerk – Onsite Job at San Diego, CA Full Time

This position is fully Essential Function:

To perform this job successfully an individual must be able to perform each essential function satisfactorily.

• Retrieves medical records from various hospital Electronic Medical Records systems.
• Submit medical records (manually or electronically) with claims per payer requirements.
• Must maintain 85 % quality rate based on audit criteria. Achieves goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements.
• Reviews source documents to determine accuracy and completeness of information of data.
• Establishes working relationships with billers, enrollment, coders, and client relations for the purpose of obtaining necessary information for a clean claim.
• Assists other accounts receivable team members as needed to meet departmental deadlines, including assisting with overloads.
• Reviews denials requiring medical records.
• Maintains up-to-date expertise and knowledge of healthcare billing laws, rules, regulations, and developments necessary for the organization to make informed business decisions.
• Assists in maintaining patient information and data in accordance with HIPAA regulations.
• Performs other duties / functions as may be assigned to the position.

.Requirements:

Competencies:

• Ability to distinguish between primary and secondary payers, as well as identifying insurance products (i.e., Medicare HMO, Medi-Cal HMO, Medical Groups vs. Health Plan)
• Excellent oral/written communication skills. Communicate effectively and diplomatically with internal and external customers and other SHP personnel both orally and in writing.
• Computer software applications, word processing and electronic spreadsheets.
• Knowledge of medical billing, CPT, HCPCS and ICD-10 Codes, and software and other tools
• Ability to follow-through, assumes responsibility, uses good judgment, and prioritizes workload.
• Maintains professionalism in stressful situations.

10272021

PI185154626