SCA Health
Medical Records and Authorization Specialist - Cardiac Cath Lab of Collin County
SCA Health, Plano, Texas, United States, 75023
Medical Records and Authorization Specialist - Cardiac Cath Lab of Collin CountyJOB_DESCRIPTION.SHARE.HTML CAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTML
Plano, TexasCardiac Cath Lab of Collin CountyHealthcare DeliveryRegularFull-time1USD $21.00/Hr.USD $25.00/Hr.35911Job Description
Overview
Please read the following job description thoroughly to ensure you are the right fit for this role before applying.
Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge:We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.The new SCA Health represents who we are today and where we are going—and the growing career opportunities for YOU.
Responsibilities
The Medical Records Specialist processes and organizes medical records in a timely manner and in compliance with regulatory and accrediting agencies, as well as state and federal laws. The Medical Record Clerk ensures completeness of the record by auditing charts and completing a medical records checklist. Medical Records Clerk handles the storage and retention of charts, responds to requests for medical record, copies and maintains medical record tracking log. The Medical Records Clerk will function within the Center’s policies and procedures, support SCA Values, SCA Vision and SCA Mission.Chart CompletionOperative ReportsMedical Record RequestsRetrieving recordsFilingRecord Storage and RetentionPerforming other duties as required.Authorization:Obtain authorizations from insurance companies/physician offices. Ensure complete and accurate information is entered into the patient accounting system and the procedure scheduled, date of service and facility name are on the authorization. Ensure the authorization has not expired.Enter authorization into patient accounting system. Include the name/CPT codes effective date of the authorized procedures.Ensure high cost implant/supply or equipment rental is included on authorization.Check insurance company approved procedure lists/medical policies. If procedure is not payable, notify patient. If patient wants to proceed, obtain signature on Medicare ABN or other non-covered notification form.
Qualifications
High school diploma or equivalentAssociate degree or equivalent from a two-year College or technical school preferredthree – five years’ experience in a medical office, hospital, outpatient surgery center or related fieldComputer experience, Excel, Word, Medical Billing Software and ApplicationsWorking knowledge of Medical Terminology.USD $21.00/Hr. USD $25.00/Hr.
PIab520063de87-36310-35214970
Plano, TexasCardiac Cath Lab of Collin CountyHealthcare DeliveryRegularFull-time1USD $21.00/Hr.USD $25.00/Hr.35911Job Description
Overview
Please read the following job description thoroughly to ensure you are the right fit for this role before applying.
Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge:We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.The new SCA Health represents who we are today and where we are going—and the growing career opportunities for YOU.
Responsibilities
The Medical Records Specialist processes and organizes medical records in a timely manner and in compliance with regulatory and accrediting agencies, as well as state and federal laws. The Medical Record Clerk ensures completeness of the record by auditing charts and completing a medical records checklist. Medical Records Clerk handles the storage and retention of charts, responds to requests for medical record, copies and maintains medical record tracking log. The Medical Records Clerk will function within the Center’s policies and procedures, support SCA Values, SCA Vision and SCA Mission.Chart CompletionOperative ReportsMedical Record RequestsRetrieving recordsFilingRecord Storage and RetentionPerforming other duties as required.Authorization:Obtain authorizations from insurance companies/physician offices. Ensure complete and accurate information is entered into the patient accounting system and the procedure scheduled, date of service and facility name are on the authorization. Ensure the authorization has not expired.Enter authorization into patient accounting system. Include the name/CPT codes effective date of the authorized procedures.Ensure high cost implant/supply or equipment rental is included on authorization.Check insurance company approved procedure lists/medical policies. If procedure is not payable, notify patient. If patient wants to proceed, obtain signature on Medicare ABN or other non-covered notification form.
Qualifications
High school diploma or equivalentAssociate degree or equivalent from a two-year College or technical school preferredthree – five years’ experience in a medical office, hospital, outpatient surgery center or related fieldComputer experience, Excel, Word, Medical Billing Software and ApplicationsWorking knowledge of Medical Terminology.USD $21.00/Hr. USD $25.00/Hr.
PIab520063de87-36310-35214970