JOB SUMMARY: The Health Care Transcriptionist is overseen by the Clinical Documentation Specialist and Healthcare Auditing Coordinator and will work in between call center and intake registration. This position will require scheduling and confirming patient appointments using appropriate information systems and enter data into the EMR system. Responsible for obtaining and tracking authorizations, billing, compliance to policy and procedures, through EMR and other systems. Will support obtain authorizations and utilization authorization reports of systems, including Rethink (EMR System) and the patient’s eligibility electrically Virtual Gateway. Will maintain clinicians’ calendars – facilitating scheduling and monitoring all completed documentation, overseeing scanning/maintenance of electronic medical records system, and preparing and organizing clinic medical record needs in line with claims and documentation. In addition, the transcriptionist will engage with other hospitals, clinics and other departments to coordinate services as needed, transcribing clinical documentation to meet medical necessity and compliance measure, and obtaining and maintaining authorization approvals.
POSITION RESPONSIBILITIES AND TASKS:
▪ Maintain and tracks all Intake Registration and Admission Documentation ▪ Provide customer service to patient’s in Intake Registration and Admission ▪ Conduct prior authorization reviews obtains extensions to continue services for community-based outpatient mental health services electronically ▪ Obtain authorizations Maintain authorizations ▪ Run Pending Billing Reports Maintain Accuracy ▪ Insurance Reimbursement Medicare/Medicaid/ Private Insurance ▪ Research reasons for denials and make appropriate corrections and adjustments and appeals ▪ Verify Patients insurance eligibility ▪ Properly track and follow up with direct care staff documentation. ▪ Distribute all finalized documentation to appropriate staff ▪ File documents in patients’ charts ▪ Maintain accurate records of all completed billing documentation ▪ Coordinate calendar and schedules including coordinate calendars for several managers Perform transcription of dictated physician notes. ▪ Maintain and approve documentation Collected and Coordinator billing and Auditing ▪ Patient account representative costumer services ▪ Enter all review results in appropriate data systems Claims Reviewer ▪ Document all review findings in the designated review database ▪ Creating correspondences and communications required by the contract, including denial letters to providers and consumers ▪ Handle the main telephone line for Intake/ Referral for all billing ▪ Create reports reflecting the start and end date of services and keep track of billing units used ▪ Receive and sort incoming mail/tracking patient and making an appointment ▪ Create reports of chart review weekly and sending outgoing mail to all clinicians /contractors ▪ Data entry and organize computer-based information ▪ Maintain electronic and hard copy filing system