Medical Records Clerk And Prior Authorization Specialist

DEPARTMENT: Medical Records

REPORTS TO: Director of Clinical Services

SUMMARY: The Medical Records Clerk and Prior Authorization Specialist is responsible for scanning of medical records, calling for prior authorizations, scheduling patient exams, assisting patients as needed and all the duties pertaining to the Medical Records department.

HOURS: 8:00 AM TO 4:30 PM Monday through Friday 

DUTIES AND RESPONSIBILITIES:

• Performs prior authorization for CT, ultrasound and echocardiogram exams performed at Primary Care Associates.
• Schedules CT, ultrasound and echocardiogram exams.
• Schedules lab, Holter and EKG appointments when needed to correlate with exam appointment.
• Staffs the ancillary desk on a rotating basis.
• Monitors status board and coffee bar when at the ancillary desk, helping patients when the need arises.
• Assists patients with My Chart.
• Attends regularly scheduled department meetings.
• Understands and performs scanning of outside reports into EPIC.
• Assists with medical records duties such as scanning, filing, and vacation coverage.
• Works independently with the ability to exercise sound judgment when making decisions.
• Maintains a safe and hygienic work environment.
• Pulls and deliver charts to the appropriate area as requested.
• Assists other departments and patients with medical records requests.
• Prepares record requests for contracted copying service.
• Prepares new patient medical charts when necessary.
• Completes daily mail rounds.
• Answers the telephone and takes message or routes calls to appropriate party.
• Scans reports into EPIC or file in paper chart as appropriate.
• Purges records.
• Follows daily job duties process.
• Speaks to callers, patients, physicians, other staff and anyone they interact with during their assigned work hours in a polite, courteous, understandable manner that projects Primary Care Associates interest in providing high quality customer service.
• Completes assigned duties in a timely, accurate manner.
• Demonstrates a team spirit through cooperative, supportive professional work relationships.
• Complies with company policies and procedures.
• Maintains a regular and reliable level of attendance.
• Assures patient confidentiality and continuity of care according to HIPAA.
• Performs other related duties as assigned by management.

SUPERVISORY RESPONSIBILITIES:

• This job has no supervisory responsibilities.

QUALIFICATIONS:

• High school diploma or general education degree (GED), or one to three months related experience and/or training, or equivalent combination of education and experience.
• Computer skills required:
• Proficiency utilizing computer including Microsoft Office Suite applications.
• Competent typing skills.
• Other skills required:
• Must have successfully completed a medical terminology course.
• Pleasant and effective telephone communication skills.
• Ability to work well with all customers and staff of Primary Care Associates and handle stressful situations maturely.
• Ability to multitask and prioritize work load.
• Able to work under pressure and in a fast pace environment.
• Must be an excellent team player.
• Must be detail oriented.

PHYSICAL DEMANDS AND WORK ENVIRONMENT: 

• Frequently required to stand, walk, sit, bend, stoop, talk or hear.
• Continually required to utilize hand and finger dexterity.
• While performing the duties of this job, the noise level in the work environment is usually quiet. 
• The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include: close vision; distance vision; color vision; peripheral vision; depth perception and ability to adjust focus.
• Specialized equipment, machines, or vehicles used: copy, fax, scan, print, etc. 

The above is intended to describe the general content of and requirements for the performance of this job.  It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements.  Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.