Advanced Billing Consultants

Medical Records Specialist It's your choice, choose AdvancedHEALTH. AdvancedHEALTH specializes in medical billing services, accounts receivable, and information management for medical practices. Join our growing team. We promote a fun and friendly work environment. We encourage work/life balance, and we offer competitive wages and benefits. The Medical Record Specialist is responsible for managing, processing, and fulfilling medical record requests received from third-party vendors, healthcare providers, auditors, government agencies, and other authorized entities. This role ensures timely, accurate, and HIPAA-compliant release of medical records to support reimbursement, audits, appeals, compliance reviews, and continuity of patient care. ESSENTIAL DUTIES AND RESPONSIBILITIES:Ans Receive, review, and process medical record requests from:Third-party vendorsInsurance carriersHealthcare providersInternal departmentsGovernment agenciesRecovery Audit Contractors (RAC)Commercial and Medicare auditorsValidate request authenticity and authorization requirements prior to releasing records.Retrieve medical records from electronic health record (EHR), document management, and imaging systems.Compile, review, and submit complete and accurate medical documentation in response to:Medical record requestsAudit requestsAdditional Documentation Requests (ADR)Pre-payment and post-payment auditsClaims appeals and denialsMonitor request status and ensure all submissions meet established turnaround time requirements.Maintain detailed logs and tracking reports of incoming and completed requests.Collaborate with providers, coding teams, billing departments, compliance teams, and payers to obtain missing documentation.Ensure compliance with HIPAA, CMS guidelines, state regulations, organizational policies, and release-of-information requirements.Research and resolve issues related to incomplete, duplicate, or denied record requests.Respond to provider inquiries regarding submitted requests and audit documentation.Maintain confidentiality and security of protected health information (PHI).Assist with process improvement initiatives to enhance productivity, compliance, and customer service. QUALIFICATIONS:KNOWLEDGE, SKILLS, ABILITIES:Ability to handle high call volumes and multitask effectivelyProficiency in computer systems and electronic health records (EHR)Detail-oriented with strong organizational skillsStrong knowledge of medical billing and coding practicesFamiliarity of ICD-10, CPT, HCPCSStrong Insurance KnowledgeMust demonstrate strong analytical skills and proficiency with Microsoft office productsMust have strong critical thinking skillsMaintains effectiveness when experiencing major changes in work tasks or the work environmentAbility to work independently without close supervisionAbility to exercise judgement and make decisionsAbility to perform in a high productivity, fast-paced environmentInterpersonal skills and conflict resolutionAttention to detailExcellent phone and computer skillsAbility to maintain sensitive information in confidenceAbility to meet deadlines and prioritize responsibilitiesAbility to train staff and write protocols and training materialsStrong ability to uphold organizational values, work with integrity and ethically, inspire the trust of others, and treat people with respectStrong HIPAA and OSHA knowledge EDUCATION / EXPERIENCE:High School or EquivalentMinimum of 1-3 years' experience in medical billing preferred WE OFFER:Medical Insurance, Dental, & VisionHealth Savings AccountFlex Spending for child carePaid life insurance of $50,000Paid Long Term Disability InsuranceVoluntary Life InsuranceVoluntary Short Term DisabilityMany Aflac Policies: Accident, Hospital, Critical Illness, Identity Theft, Legal Plan401K - very generous plan the company contributes even if you do notPTO (Paid Time Off) - generous planCompensation details: 18-20 Hourly WagePIf6ba66441f22-4497