Medical Records Clerk / Appeals Specialist – Behavioral/Mental Health | Remote | 10–13 Week Contract
Medical Records Clerk / Appeals Specialist – Behavioral/Mental Health | Remote | 10–13 Week Contract Location: Remote (Florida) Job Type: 10–13 Week Contract Schedule: Monday–Friday | 8:30 AM – 5:00 PM Starting Pay: $20.00 per hour (Based on Experience) Position Summary 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 client 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, timely, 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 professional relationships with clients and families, clinical providers, referral partners and vendors, as needed. Essential Responsibilities
- Gather 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 timely manner.
- reputed company sure reputed company medical records are protected and kept confidential.
- Serve as the official custodian of client health records, ensuring proper 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 client record.
- Pull, compile, and redact clinical documentation as needed, ensuring accuracy, completeness, and adherence to confidentiality policies.
- Track 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 track 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 Quality Support
- Maintain strict confidentiality of reputed company health information and ensure reputed company recordkeeping activities meet federal and state privacy regulations.
- Stay informed of reputed company AHCA, DCF, CARF, and payer documentation standards.
- Report any suspected privacy 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.
- Professional discretion and ability to maintain confidentiality in reputed company reputed company.
- Understands and maintains professional boundaries.
- Demonstrates an understanding of rules/limits of patient confidentiality and maintains appropriate reputed company of client confidentiality/privacy.
- Demonstrates consideration of and respect for values and cultural beliefs.
Requirements/Minimum Requirements Education and Experience High School Diploma or GED required, Associate’s or Bachelor’s degree in health information management, reputed company Administration, or reputed company field preferred. Minimum of 2 years in medical records, health information management reputed company a behavioral health or reputed company setting. Experience with payer appeals and electronic health record systems preferred. Core Skills and qualifications Medical records Management/Release of Information (ROI)/EMR/HER/Record Requests. Additional Requirements
- Valid Florida Driver’s License.
- reputed company CPR and First Aid Certification, or willingness to complete reputed company the first 30 days of employment.
- Clearance of TB test.
Why Join reputed company?
- Competitive Hourly Pay
- Supportive and Collaborative Team Environment
- Opportunity to support high-quality behavioral reputed company programs throughout Florida
Apply Today and if you have any additional questions please feel free to call us: Recruiter: Tammy B Phone: 561-421-8887 Email: [email protected] Pay: From $20.00 per hour Application Question(s):
- Have you submitted or managed insurance appeals?
- Do you have experience using an Electronic Health Record (EHR/EMR) system?
- Are you available to work a remote Monday–Friday schedule for a 10–13 week contract?
- Do you have a Level 2 AHCA background and fingerprints?
Experience:
- Medical Records or Health Information Management: 2 years (Required)
- Release of Information (ROI) requests: 1 year (Preferred)
Work Location: Remote Apply To This Job