Job Description

Job Title: Medical Records Clerk (Milford, MA)

**This is a fully onsite position in Milford, MA**

Responsibilities/ Job Duties:

• Tracks all denials and appeals including but not limited to Medical Necessity, DRG/Coding, Clinical Validation, RACs, etc. using Excel.
• Tracks appeals through various stages which may include 1 st , or 2nd levels of appeals, and up to appeals at the ALJ (Administrative Law Judge) level.
• Processes all denials and appeals including uploading denials to vendor for review. Interacts with physicians and nurses regarding appeals.
• Processes and mails all appeal letters including cover letters, appeal request forms, and patient documentation accurately, completely and timely to meet all deadlines.
• Works closely with various depts including Care Management, Patient Financial Services, Coding and Vendors.
• Works directly with payers and utilizes payer portals.
• Tracks financial gains and losses via Excel spreadsheets to be presented at various Revenue Cycle committees.
• Reconciles and validates all invoices received from appeals vendor and processing of other invoices.

Minimum Education and Experience Requirements:

• 2+ years of experience working in a HIM (medical records) department or similar medical office / environment
• Proficient in Microsoft Office

Schedule/ Shift: Monday - Friday 8:30am-5:00pm

Benefits:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)
• Health Benefits / Dental / Vision ( Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)
• 401k ( eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)
• Short Term Disability Insurance
• Term Life Insurance Plan

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