Medical Records Specialist Job at Quadax, Inc., Cleveland, OH

V1FaejE1bElnQUZEbGZ0THk5d29idllId0E9PQ==
  • Quadax, Inc.
  • Cleveland, OH

Job Description

Job Description

Job Description

Key Responsibilities:

  • Review the case and the medical records on file to identify any missing information.
  • When unavailable, obtain medical records contacts, phone numbers, and fax numbers for physician’s office.
  • Submit requests for medical records to the MD office and follow up on those requests per client guidelines.
  • Request test results from client if not on file.
  • Submit medical records to the insurance company or provide records to be filed with an appeal.
  • Comply with all Medical Records Needed – CLM and Medical Records Needed – Appeal worklist process, system, and documentation SOPs (Standard Operating Procedure).
  • Meet worklist and follow-up time requirements to complete assigned worklist tasks promptly.
  • Send an appropriate letter to the payer when all available records have been sent, and the claim/appeal is still pending.
  • Participate in team meetings by sharing the details of cases worked.
  • Ability to meet predetermined Productivity Goals based on the level of Appeal.
  • Ability to meet Quality Standard in place (90% or greater)
  • Other duties as assigned.

Education/Experience:

  • High School diploma or GED
  • Previous experience working with and interpreting medical records documents
  • Detail oriented and ability to multitask
  • Ability to maintain confidentiality
  • Possess excellent written and verbal communication skills
  • Ability to establish priorities, work independently, and proceed with objectives without supervision
  • Proficient in using Microsoft Excel and Word

Job Tags

Work at office,

Similar Jobs

Staffing the Universe

Agile Coach Six Sigma Black Belt consultant - Owings Mills MD Job at Staffing the Universe

 ...Agile Coach Six Sigma Black Belt Consultant Location: Owings Mills, MD Position Type: Contract US Citizen, Green Card, TN, GC...  ...corp. Job Description: Required Qualifications Certified Lean Six Sigma Black Belt (CLSSBB) or Master Black Belt (CLSSMBB) Highly... 

Goodwill of Southern New England

Goodwill Store Associate P/T Job at Goodwill of Southern New England

 ...Description Hourly Pay Range: $16.35 - $21.91 This position pays: $16.35/Hour Why Work for Goodwill Southern New England?! Referral bonuses Retirement plan contributions Tuition and gym reimbursement Emergency assistance funds Paid time off And... 

PRIDE Health

Travel Nurse RN - Educator Job at PRIDE Health

 ...Job Description PRIDE Health is seeking a travel nurse RN Educator for a travel nursing job in New York, New York. Job Description & Requirements ~ Specialty: Educator ~ Discipline: RN ~ Start Date: 10/13/2025~ Duration: 12 weeks ~40 hours per week... 

Immunologix Laboratories

Bioanalytical Principal Investigator I-III Job at Immunologix Laboratories

 ...Job Description Responsibilities The Principal Investigator: manages regulated (e.g. GLP, GCP) and non-regulated PK, immunogenicity (ADA and NAb), and Biomarker studies. communicates the progress/study updates directly with sponsors via email and virtual meetings... 

Cargill

Electrician Job at Cargill

Job Description Cargill is a trusted salt supplier to a wide variety of industries; our portfolio includes food processing salts, sodium reduction solutions, salt for water softeners and swimming pools, bulk and packaged ice melters, industrial salts, and salt for animal...