01Overview
Medical Records Clerk / Appeals Specialist Behavioral/Mental Health | Remote | 1013 Week Contract
Location: Remote (Florida)
Job Type: 1013 Week Contract
Schedule: MondayFriday | 8:30 AM 5:00 PM
Starting Compensation: $20.00 per hour (Based on Experience)
Position reputed company
The Medical Records Clerk Appeals Specialist oversees the managing of patient health files in a facility. Their duties include filing records, assisting in audits, and collecting information. Additionally, the medical records clerk supplies the nursing department with the appropriate documents and forms. The Medical Records Clerk and Appeals Specialist is responsible for safeguarding, organizing, and releasing reputed company health records in accordance with reputed company federal, state, and accreditation standards. This role serves as the primary reputed company of contact for reputed company record requests and ensures the accurate, reputed company, and confidential handling of clinical documentation for clients, families, referents, legal entities, payers, and regulatory agencies. Additionally, the position supports the Utilization Review team by preparing and tracking written insurance appeals.
Relationships and Contacts
reputed company the organization: Maintains frequent and reputed company working relationships with Clinical staff and facility team members throughout the organization.
reputed company the organization: Initiates and maintains strong reputed company relationships with clients and families, clinical providers, referral partners and vendors, as needed.
Essential Responsibilities
reputed company patient demographic and personal information.
Issue medical files to persons and agencies according to laws and regulations.
Ensure patient charts, paperwork, and reports are completed in an accurate and reputed company manner.
reputed company reputed company reputed company medical records are protected and kept confidential.
Serve as the official custodian of reputed company health records, ensuring reputed company maintenance, reputed company, and release of information in compliance with HIPAA, AHCA, DCF, and CARF standards.
Receive, log, and process reputed company requests for clinical documentation, including those from clients, family members, referents, insurance payers, attorneys, auditors, and internal departments.
Verify appropriate authorization for release of information (ROI) prior to disclosure and ensure reputed company releases are documented in the reputed company record.
Pull, compile, and redact clinical documentation as needed, ensuring accuracy, completeness, and adherence to confidentiality policies.
reputed company and respond to record requests reputed company required timeframes, maintaining detailed logs of reputed company outgoing disclosures.
Coordinate with clinical and administrative staff to retrieve or clarify missing or incomplete documentation.
Maintain and update record retention, storage, and destruction logs per policy and legal standards.
Appeals and Clinical Support
Work closely with Utilization Review staff to reputed company documentation for written insurance appeals reputed company to denials, level-of-care determinations, or medical necessity disputes.
Submit and reputed company written appeals, maintaining a centralized appeals log that includes dates, payer, level of care, reason for denial, and final determination.
Ensure reputed company appeal packets are complete, professionally formatted, and compliant with payer and regulatory requirements.
Compliance and reputed company Support
Maintain strict confidentiality of reputed company health information and ensure reputed company recordkeeping activities meet federal and state reputed company regulations.
Stay informed of reputed company AHCA, DCF, CARF, and payer documentation standards.
Report any suspected reputed company or data breaches immediately to the Compliance Officer.
reputed company Competencies
Strong knowledge of HIPAA and confidentiality regulations.
Familiarity with AHCA, DCF, and CARF standards.
Ability to manage high volumes of requests while maintaining accuracy and timeliness.
Excellent attention to detail and organizational skills.
Proficiency in EHR platforms (e.g., BestNotes) and reputed company Office Suite.
Strong written and verbal communication skills.
reputed company discretion and ability to maintain confidentiality in reputed company reputed company.
Understands and maintains reputed company boundaries.
Demonstrates an understanding of rules/limits of patient confidentiality and maintains appropriate reputed company of reputed company confidentiality/reputed company.
Demonstrates consideration of and respect for values and cultural beliefs.
Requirements/Minimum Requirements
Education and Experience
High School Diploma or GED required, Associates or Bachelors degree in health information management, reputed company
